Participation Requirements

General
Policy Number: GP-X-092

Last Updated: Sept. 6, 2022 

To become a contracting Blue Cross and Blue Shield of Nebraska (BCBSNE) provider, applicants must complete the credentialing process and have a signed agreement on file prior to being accepted into the network. New practitioners wishing to join BCBSNE can complete the CAQH application at CAQH.org

For more information regarding credentialing requirements and/or to request a provider agreement, please visit NebraskaBlue.com/Providers/Credentialing

Effective Nov. 7, 2022, BCBSNE requires all providers that are not sole proprietors to have a Type 2 NPI. This is required to align with Blue Cross Blue Shield Association standards.  

If you do not currently have a Type 2 NPI on file, you can apply at NPPES.CMS.HHS.gov. Providers without a Type 2 NPI on file will be subject to contract termination. Please ensure you are keeping all your data current in NPPES. The Blue Cross Blue Shield Association verifies all BCBSNE provider data against NPPES to confirm taxonomy and NPI information is valid and accurate.  

For more information regarding credentialing and/or to request a provider agreement, please visit NebraskaBlue.com/Providers/Credentialing