[
As previously communicated, effective November 1, 2010, the Network
Credentialing Support Services Hotline, 215-241-4120, previously designated for requesting
your contract and billing registration forms, was replaced with an email
address, Application_Requests@ibx.com.
Please note that the hotline has been disconnected.
Providers interested in participating in our network are responsible for
notifying IBC upon completion of their Council for Affordable Quality
Healthcare (CAQH) credentialing form. Once the form is completed, providers
should notify the Network Credentialing Support Services department using the
email address indicated above. Please include the following information in your
email:
-
practitioner's name
-
practitioner's mailing address
-
practitioner's office address
-
practitioner's specialty
-
practitioner's CAQH ID number
-
contact person's name, telephone number, and email address.
If you have any questions regarding this process, please contact Customer
Service at 1-800-ASK-BLUE.
]