We’re glad to hear that you are interested in joining the Medicaid network for Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY). We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care they need.
Our precertification, referrals, claims and payment processes are streamlined to help you focus on what you do best — caring for your patients.
We are happy to talk with you about joining the Medicaid network for Highmark BCBSWNY. To inquire about participating, please send a letter of interest to us via email.
Credentialing is the process Highmark Blue Cross Blue Shield of Western New York uses to evaluate and select licensed independent practitioners to provide care to our members.
Highmark BCBSWNY uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. This secure and private website reduces the amount of paperwork you need to fill out to complete the credentialing process.
Credentials are evaluated according to criteria set forth in our policy to ensure the competency and conduct of the health care professionals serving members in our network.
All providers applying for initial or continuing participation are required to complete and submit their credentialing and recredentialing applications through CAQH ProView. Below are some helpful hints and things to remember when using ProView.
Call:
1-888-599-1771
Email: