Texas standardized credentialing application 2026

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The document is a Texas Standardized Credentialing Application form, required by the Texas Department of Insurance for healthcare professionals seeking credentialing with insurance carriers. It includes sections for personal information, education, licenses, work history, hospital affiliations, references, professional liability insurance coverage, practice location details, and disclosure questions regarding licensure and malpractice claims. The form aims to collect comprehensive data to evaluate the applicant's qualifications and eligibility for participation in healthcare networks.

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Click ‘Get Form’ to open the Texas Standardized Credentialing Application in our platform.
Begin with Section I, where you will provide your individual information. Fill in your last name, first name, and other personal details such as date of birth and social security number.
Proceed to the Education section. Enter your professional degree details, including the issuing institution and attendance dates. If applicable, check the box for additional degrees.
In the Licenses and Certificates section, list all relevant licenses along with their issue and expiration dates. Ensure accuracy as this information is crucial for credentialing.
Complete the Work History section by detailing your current and previous employment. Include start and end dates, employer names, and reasons for leaving if necessary.
Finally, review all sections for completeness before submitting. Use our editor's features to make any necessary adjustments easily.

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What is a credentialing application?

Credentialing, as defined by Texas Administrative Code (TAC) 11.2(b)(17), is the process of collecting, assessing and validating qualifications and other relevant information pertaining to a physician or provider to determine eligibility to deliver health care services. The credentialing process is part of the

What is a Texas standardized credentialing application?

The Texas Standardized Credentialing Application fulfills requirements of Senate Bill 544, Section 3 (77th Texas Leg, effective Sept. 1, 2001) and Texas Insurance Code Chapter 1452 providing for the Texas Insurance Commissioner to adopt a standardized form for verification of physician credentials.

How do I contact BCBS Texas credentialing?

Providers will be notified once the CAQH credentialing applications are reviewed for completeness. The review takes on average 810 calendar days. If you have questions, please contact your local Network Management Office at TexasMedicaidNetworkDepartment@bcbstx.com.

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What are the three types of credentialing?

Credentialing is the process the healthcare facility or managed care organization/health plan uses to collect and verify the credentials of the applicant. This includes verification of many elements, including licensure, education, training, experience, competency, and judgment.