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Contracting

Contracting with BCBSVT

Once you’ve submitted a Provider Enrollment/Change Form Download PDF and begun the credentialing process, you will need to establish a formal, contractual arrangement with BCBSVT.

 

If You... Then...
Are joining an established practice that already has a contract with BCBSVT Your practice manager can provide you with details about your contractual roles and responsibilites.
Or your practice is entirely new to the BCBSVT plan BCBSVT will send you a formal contract to review and sign.

 

Roles and Responsibilities

Our contracts state the roles and responsibilities you will have to fulfill as a network provider as well as the roles and responsibilities of the plan. More specifically, the contracts address topics like:

  • your licensure and liability insurance,
  • the services that you will provide to plan members,
  • reimbursement terms,
  • claims processing,
  • your rights to appeal claims determinations,
  • written health records, and
  • confidentiality.

Questions About an Existing Contract

BCBSVT or TVHP contracted providers may contact their assigned provider relations consultant at 1-888- 449-0443 for any questions about their contract.