Get Texas Standardized Credentialing Application - Bcbstx

Completing the Texas Standardized Credentialing Application is essential for professionals seeking to become credentialed. This guide provides clear, step-by-step instructions to help users easily navigate and fill out the application online.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the application and open it in the designated interface.
2. Begin by filling out Section I, which includes individual information. This section requires your professional type, personal names, years associated with any other names, social security number, contact information, and citizenship status.
3. Proceed to the education section, providing information about your professional degrees, institutions, and attendance dates. If you have multiple degrees, ensure to check the appropriate box and submit additional documentation as needed.
4. In the licensing and certifications section, list all licenses and certifications from states where you hold or have held a license. Include dates of issue and expiration, and indicate your current practice status in those states.
5. Complete the professional and specialty information section by indicating your primary and secondary specialties, board certification status, and any directory preferences.
6. Provide a chronological work history, detailing all employment with start and end dates, employer names, and reasons for employment discontinuance for each position. Ensure to explain any employment gaps longer than six months.
7. Document your hospital affiliations, specifying all hospitals where you have privileges, detailing start dates, types of privileges held, and current practice status at these locations.
8. List three peer references who can attest to your qualifications and abilities in your field, ensuring that they are not related or partners in your practice.
9. Fill in the professional liability insurance coverage section, providing details about your current malpractice insurance and prior coverage if applicable.
10. Answer all disclosure questions thoroughly, providing explanations for any questions answered 'yes' to detail your medical and professional history.
11. Review all sections for accuracy, make necessary edits, and confirm your understanding of the authorization and attestation before signing the application.
12. Finally, you can save changes, download, print, or share the completed form, ensuring it is submitted to the desired credentialing carrier.

Complete your Texas Standardized Credentialing Application online today for a seamless credentialing process.