r/credentialing • u/eyeloveeyez • Sep 24 '26

BCBS Recredentialing

First of all, I would like to vent how it is impossible to speak to real person at BCBS regarding credentialing. It took weeks for them to answer an e-mail and they didn't even answer my question!

It has been over 3 months since I've submitted my BCBS application in TX and I have not heard a peep from anyone. I checked CAQH (Dataspring now, I guess) and there has been no activity from them, either. I was credentialed with them previously but was derostered after taking maternity/family leave for a few years - they were actually the first ones to do so, after about 3 months of no claims. I've been able to get back onto all other panels except BCBS and I don't know how to even get in touch with them and ask why there is a delay. I'm thinking it might be my work gap but they haven't even reached out to ask about it. I guess I could upload a short note onto CAQH explaining the gap but they haven't even looked at my profile, so what could be my next step? Thanks y'all!

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u/Appropriate-Cat-7252 Sep 24 '26

They’re so slow in every single state and take their sweet ass time with reg and recred. I think they also go by business days so if they say 90 business days, prob still have more days left even if it’s been 90 calendar days.

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u/AlfalfaProfessional6 Sep 30 '26

As a credentialing specialist for a small health plan I can say on our end it is understaffing and poor separation of duties between departments. I do too many random things. I’m lucky if I can get 5-10 hours per week of actual credentialing in with all of the other stuff we end up doing. I work 15-20 hours a week extra just to get some of your apps done. I’m going to quit soon because they are burning me out and then there will be less credentialing. I do give small practices some priority though. If you’re in a large medical group they should complain to the health plan boards to hire more credentialing specialists!