Home
Forms Library
Credentialing Reconsideration

Credentialing Reconsideration 2026

Credentialing Reconsideration Preview on Page 1

See details

4.4 out of 5

54 votes

The document outlines the credentialing reconsideration process for Providers/Facilities (Applicants) denied or canceled by the BCBSKS Corporate Credentials Committee. It details the notification procedures, circumstances under which reconsideration is not available, and the steps for Applicants to appeal decisions. The process includes a first and second level of reconsideration panels, with specific timelines for notifications and actions. Additionally, it emphasizes monitoring of Providers for disciplinary actions and the implications of license suspensions or revocations during the appeal process.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify Credentialing Reconsideration in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting paperwork with our feature-rich and intuitive PDF editor is straightforward. Adhere to the instructions below to complete Credentialing Reconsideration online quickly and easily:

Sign in to your account. Log in with your email and password or create a free account to try the product prior to choosing the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Credentialing Reconsideration. Easily add and highlight text, insert images, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your document.
Get the Credentialing Reconsideration completed. Download your adjusted document, export it to the cloud, print it from the editor, or share it with other participants using a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to rapidly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How long does a credentialing team review take?

In most cases, the QIC will notify you of its decision on the reconsideration within 72 hours of receiving your request. If your Level 2 appeal was not decided in your favor and you still disagree with the decision, you may file a Level 3 appeal with OMHA if you meet the minimum amount in controversy.

Why would credentialing be denied?

Typical Credentialing Timelines Initial credentialing typically lasts between three to six months, involving preparation (two to four weeks), application review (60120 days), and final enrollment (two to four weeks). Recredentialing, which occurs every two to three years, is often shorter.

Whats the difference between reconsideration and appeal?

Credentialing denials occur when a healthcare providers application to join a specific insurance network is rejected. A refusal can be caused by various factors, including incomplete or inaccurate information, expired licenses, insufficient documentation, or failure to meet the networks quality standards.

Try more PDF tools