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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

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Credentialing

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In order to participate in the Physicians Network of Blue Cross Blue Shield of Georgia, Inc. (BCBSGa) and/or Blue Cross Blue Shield Healthcare Plan of Georgia (BCBSHP), you will need to complete the credentialing application and receive the approval of the Credentials Committee of BCBSGa and BCBSHP.  
Council for Affordable Quality Healthcare (CAQH) 
Information regarding submitting Credentialing information to BCBSGa/BCBSHP. 
CAQH Credentialing Website
CAQH Mandate FAQs
CAQH Quick Reference Guide
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.