Recredentialing & Credentialing Applications

Already registered with the CAQH Provider Data Portal?

1. Login and authorize BCBSND to receive your information.
2. Ensure all your professional and practice information is current.
3. Confirm that you have updated all documents required for credentialing (malpractice insurance, license, CDS and DEA)
4. Re-attest to the accuracy and completeness of your credentials.
5. Submit your CAQH number to providerforms@bcbsnd.com.

New to the CAQH Provider Data Portal?

1. Register at https://proview.caqh.org/PR/Registration.
2. Gather your credentialing details (ID numbers, practice locations, and supporting documents).
3. Login and follow the prompts to complete your profile and upload your documents.
4. Attest to the accuracy and completeness of your credentials and authorize BCBSND to access your profile.
5. Submit your CAQH number to providerforms@bcbsnd.com.

Additional CAQH Resources

Introductory information for Providers

Provider Resources

CAQH Support

Ambulance Credentialing Application

Behavioral Health – Institutional Provider Credentialing Application

Durable Medical Equipment Credentialing Application

Healthcare Organization Credentialing Application   - Use this form for all other specialities.

Home Infusion Credentialing Application

Medication-Assisted Treatment Facility Credentialing

Optical Supplier Credentialing Application

Public Health Unit Credentialing Application

Ambulance Recredentialing Application

Behavioral Health – Institutional Provider Recredentialing Application

Durable Medical Equipment Recredentialing Application

Healthcare Organization Recredentialing Application  - Use this form for all other specialities.

Home Infusion Recredentialing Application

Medication-Assisted Treatment Facility Recredentialing Application

Optical Supplier Recredentialing Application

Public Health Unit Recredentialing Application

Apply to become a UCD network dental provider

BCBSND partners with United Concordia Dental for network management (provider contracting), claims administration and member/provider customer service.

Our products continue to be Blue branded and we partner with United Concordia to develop and market dental products.

Apply to become a vision provider

BCBSND partners with Vision Service Plan (VSP) for network management (provider contracting), claims administration and member/provider customer service.

Our products continue to be Blue branded and we partner with VSP to develop and market vision products.

If you are not already a credentialed BCBSND provider, get started by completing the applicable form(s) above. If you are already credentialed and want to be a part of the Medicaid Expansion network, request an addendum by sending an email to providercontracting@bcbsnd.com. 1915(i) non-emergency medical transportation and meal and lodging providers can be credentialed through the State of North Dakota.

Providers who bill as a rendering/performing provider on claims (including Pharmacists) need to complete the Practitioner Credentialing Application found above.