The Idaho Practitioner Application form is an essential document for professionals seeking credentialing with Blue Cross of Idaho, laying out a detailed roadmap for submitting accurate and comprehensive information necessary for the credentialing process. As a comprehensive checklist, it guides applicants through the required steps, from ensuring all sections of the application are filled out thoroughly, to listing professional licenses, providing DEA registration information, and detailing educational backgrounds. Additionally, it emphasizes the importance of accuracy in reporting board certifications, hospital affiliations, work history, and insurance coverage. To avoid delays or rejections, applicants must also include an Idaho Practitioner Attestation Questions Form and a Release of Authorization Form, with all data being current within the last 180 days of the Blue Cross review. The form stipulates clear guidelines for application completion, submission, and offers insights into the rights of applicants regarding credentialing decisions. It underscores the necessity of attention to detail and adherence to provided instructions to ensure a smooth credentialing process. With an average processing time of 60 to 90 days, it advises applicants to allow ample time for review and to contact Blue Cross of Idaho directly for any credentialing queries, ensuring that every applicant is prepared for and informed about every step of the credentialing journey.
| Question | Answer |
|---|---|
| Form Name | Idaho Practitioner Application Form |
| Form Length | 13 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min 15 sec |
| Other names | idaho credentialing online, id credentialing, blue cross practitioner, id practitioner |