Credentialing by payer
Join the Florida Blue 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
Florida Blue at a Glance
| Parent company | GuideWell Mutual Holding Corporation |
|---|---|
| Service area | Florida; which Florida Blue plans are offered varies by county. |
| How to request to join | Two forms, both in Availity: the Provider Registration Form, then the Request to Join our Networks form. |
| Portal | Availity |
| CAQH ProView (DataSpring) | Yes for physicians, through the CAQH Universal Credentialing DataSource. Ancillary, facility, supplier and ASC businesses are not required to use CAQH. |
| Behavioral health | Behavioral health management, including case management, is delegated to Lucet Behavioral Health. |
| Published turnaround | A written decision within 30 business days after the file is verified and reviewed by committee. If nothing arrives 90 days after a complete submission, call Network Management at 1-800-727-2227. |
| Recredentialing | Every three years, or as otherwise required by law. |
| Lines of business | Commercial (BlueOptions NetworkBlue PPO, BlueCare HMO), ACA Marketplace plans, and BlueMedicare HMO and PPO Medicare Advantage. |
How Florida Blue Takes Applications
Florida Blue keeps both steps inside Availity: registration creates the provider record, and the Request to Join our Networks form asks for participation. Physicians are credentialed from the CAQH (DataSpring) profile; facilities and ancillaries are not.
What to Watch With Florida Blue
Marketplace plans are built on the existing commercial networks (BlueOptions, BlueCare, myBlue and BlueSelect), so the networks you join decide which Marketplace members you can see. BlueMedicare Preferred HMO targets only Polk and Hillsborough counties.
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 Florida Blue
How do I apply to Florida Blue?
Two forms, both in Availity: the Provider Registration Form, then the Request to Join our Networks form.
How long does Florida Blue credentialing take?
A written decision within 30 business days after the file is verified and reviewed by committee. If nothing arrives 90 days after a complete submission, call Network Management at 1-800-727-2227. Recredentialing: Every three years, or as otherwise required by law.
Does Florida Blue use CAQH (DataSpring)?
Yes for physicians, through the CAQH Universal Credentialing DataSource. Ancillary, facility, supplier and ASC businesses are not required to use CAQH.
How do therapists join Florida Blue?
Behavioral health management, including case management, is delegated to Lucet Behavioral Health.
What does PECS charge for a Florida Blue application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Florida Blue until the effective date is set.
Want Florida Blue handled? Get your self-serve quote.
Get an instant answer, or send it to our team and we will reply by email within one business day.
Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
Facts checked against the sources above in October 2026; plan procedures change.