Provider Credentialing Process


How Do Providers Become Part of Our Network?
Thank you for your interest in becoming a participating provider with BlueCross BlueShield of Western New York.  We value your business and strive to provide quality service to our Providers and Members.

Initial Credentialing
Providers can enroll into our health plan by filling out the Universal Credentialing Application with CAQH, the Council for Affordable Quality Healthcare.

How it Works:
Follow this link to access the Universal Provider DataSource

  • Under Providers, click: 'Go to the Universal Provider Datasource' and login.
  • Enter your CAQH Provider ID (if you don't know it, call CAQH at 1-888-599-1771).
  • Enter or update your information.
  • Authorize BlueCross BlueShield WNY to access your information electronically.
  • If you do not have a CAQH application, follow the link below to download a CAQH roster form.

Complete the form below and return to the fax number provided.
Provider Enrollment Form

If you are a physician, nurse practitioner, CRNA or physician assistant practicing within the specialty of Hospitalist, Anesthesia, Emergency Medicine or Pathology and your medical practice is based out of an acute care hospital, you are eligible to enroll as a hospital-based provider using the hospital-based provider registration.

Hospital-based provider application

The CAQH Universal Credentialing Application is our data source for recredentialing.  As such, it is important that you keep your information on CAQH current. Update your CAQH application regularly with license(s), malpractice, demographic information, disclosure questions and attest to the accuracy of the information in the application.

As part of your credentialing or recredentialing, BlueCross BlueShield of Western New York is requesting that you join the Association for Medical Ethics (AME), which we are partnering with.
Join now.

The influence of pharmaceutical and medical device manufacturers is generally beneficial to our patients’ health, but sometimes the goal of corporate profits impacts their care negatively. Most of the time doctors and patients are completely unaware of these subtle and pervasive influences that can be harmful. Increasing this awareness to avoid patient injury and improve care is the purpose of our partnership with AME.    

We are requesting that our physicians join AME as a way to demonstrate to our members their support of the appropriate and informed use of evidence-based medicine and the need to ensure transparency in industry supported research and practice. Patients and doctors are affected immensely in almost all daily medical decisions by industries’ opaque financial influence, often to the severe detriment of patient care.

Our partnership with AME will include CME programming on these topics and health/wellness interventions. You can take the CME course at: www.courses.ethicaldoctor.org


The first of the medical topics covered will be related to ethics in medicine.
Learn more about AME and join now.

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Done with your credentialing application?
Ready to start the contracting process?


Give us a call at one of the following numbers:
1-716-887-2054 OR 1-800-666-4627