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Contracting

Contracting 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 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.

 

To begin the enrollment process, email your completed
Provider Enrollment/Change Form (PECF) Download PDF to providerfiles@bcbsvt.com.  

 

Clinical lab or durable medical equipment (DME) providers, should email completed Group Practice Enrollment/Change Form (GPECF)Download PDF to ProviderContracting@bcbsvt.com

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
  • 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.

 

 Updated: 09/06/12