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 Request/Information Form - Facility/Ancillary

     Contract Request/Information Form - Dental

     VAPC3 Program (for Veterans) – Medical

     VAPC3 Program (for Veterans) – Facility

There are several steps in the BCBSAZ contracting process. To learn more, including how to avoid delays, please download the overview.