Credentialing by payer
Join the Blue Cross and Blue Shield of Texas Network
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
Blue Cross and Blue Shield of Texas at a Glance
| Parent company | Health Care Service Corporation (HCSC) |
|---|---|
| Service area | Texas. HCSC also runs the Blue plans in Illinois, Montana, New Mexico and Oklahoma. |
| How to request to join | The Provider Onboarding Form, after you have a BCBSTX Provider Record ID for each Tax ID you bill under. Start here |
| Portal | Case Status Checker and Credentialing Status Checker on provider.bcbstx.com |
| CAQH ProView (DataSpring) | Yes. Create or update the CAQH (DataSpring) profile; if it is not finalized within 45 days, BCBSTX discontinues the credentialing process. |
| Published turnaround | No overall time published for commercial networks. For Medicaid, the CAQH completeness review averages 8 to 10 calendar days. |
| Lines of business | Commercial; Blue Cross Medicare Advantage HMO, Dual Care HMO and PPO; Texas Medicaid STAR, STAR Kids and CHIP. |
How Blue Cross and Blue Shield of Texas Takes Applications
BCBSTX starts with identity, not credentials: each billing Tax ID first needs a BCBSTX Provider Record ID, then the Provider Onboarding Form requests the contract. Office-based physicians and professionals must be credentialed before acceptance, and the case number in the confirmation email is what the Case Status Checker looks up.
What to Watch With Blue Cross and Blue Shield of Texas
The 45-day CAQH deadline is the trap: an unfinished or unattested profile ends the file and the request starts over. Credentialing status can be checked by NPI or license number on the Credentialing Status Checker.
Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.
Questions About Blue Cross and Blue Shield of Texas
How do I apply to Blue Cross and Blue Shield of Texas?
The Provider Onboarding Form, after you have a BCBSTX Provider Record ID for each Tax ID you bill under.
How long does Blue Cross and Blue Shield of Texas credentialing take?
No overall time published for commercial networks. For Medicaid, the CAQH completeness review averages 8 to 10 calendar days.
Does Blue Cross and Blue Shield of Texas use CAQH (DataSpring)?
Yes. Create or update the CAQH (DataSpring) profile; if it is not finalized within 45 days, BCBSTX discontinues the credentialing process.
What does PECS charge for a Blue Cross and Blue Shield of Texas application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Blue Cross and Blue Shield of Texas until the effective date is set.
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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
- BCBSTX: How to join
- BCBSTX: Network participation
- BCBSTX Medicaid: Credentialing and recredentialing
- HCSC: Who we are
Facts checked against the sources above in October 2026; plan procedures change.