Becoming a contracted provider with BCBSAZ requires credentialing and starts by completing and submitting the appropriate form:
Contract Request/Information Form - Medical (Requires a CAQH Proview number and complete provider profile)
- Chiropractors must apply through American Specialty Health (ASH) at 1 (888) 511-2743
- Providers with concierge practices must meet specific requirements and sign a Concierge Practice Contract Addendum.
Contract Application/Information Form - Facility/Ancillary
Contract Request/Information Form - Dental
VAPC3 Program (for Veterans) – Medical
VAPC3 Program (for Veterans) – Facility
For BCBSAZ Advantage, call (480) 684-7712
There are several steps in the BCBSAZ contracting process. To learn more, including how to avoid delays, please download the overview.
Please allow up to 90 days for the contracting process to be completed. To check status after that time, contact Provider Partnerships at (602) 864-4231 or 1 (800) 232-2345, ext 4231.
