Contracting Health Insurance Providers
Contracting with BCBSVT
|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 responsibilities.|
|Are a clinical lab or durable medical equipment (DME) supplier||Providers are selected to participate in our networks based on an assessment and determination of the network's needs. Submit the Group Enrollment/Change Form to Provider Contracting via email at ProviderContacting@bcbsvt.com for additional information and requirements.|
|Or your practice is entirely new to the BCBSVT plan||BCBSVT will send you a formal contract to review and sign.|
NOTE: Submission of the Group Enrollment/Change Form does not guarantee enrollment/participation.
Roles and Responsibilities
As a network provider you need to fulfill specific roles and responsibilities, as noted in our contract, including:
- your licensure and liability insurance
- services you will provide to plan members
- reimbursement terms
- claims processing
- your rights to appeal claims determinations
- written health records
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.