All practitioners participating in the Blue Shield of California network are required to complete an application to renew their credentialing every three years. Completing and submitting the recredentialing application with supporting documentation is a requirement for continued network participation.

Please complete and re-attest your CAQH application or complete every field of the CPPA application as applicable to your provider type and return it to Blue Shield as soon as possible (within thirty (30) days from the date of receiving your recredentialing notice that Blue Shield of California is needing an updated application and attestation).

Recredentialing Application Packet (PDF, 744 KB)

When you submit your application please be sure to include the following:

  • Complete cover letter
  • Complete, signed and dated California Participating Practitioner Application.
  • Information about any malpractice actions that may have been taken against you, including settlement amounts and/or explanation of any dismissed or pending claims with pertinent dates included (see Addendum B).
  • For physicians, staff privileges at a Blue Shield contracting hospital. Exceptions may be made for physicians who do not normally obtain hospital-admitting privileges. In those cases, to admit patients, the physician without admitting privileges must use an admitting panel or provide evidence that there will be another Blue Shield network physician with admitting privileges who will admit the patient.
  • Current professional malpractice liability insurance in the minimum amounts of $1,000,000 per occurrence and $3,000,000 annual aggregate. $1,000,000 per occurrence and $2,000,000 annual aggregate for Optometrists and Audiologists. $1,000,000 per occurrence and $1,000,000 annual aggregate for Behavior Analyst.
  • If applicable, a copy of the current unrestricted Drug Enforcement Agency (DEA) registration number. Exceptions may be made for providers who do not normally obtain Drug Enforcement Agency (DEA) registration number. In those cases, the provider without a DEA registration number must provide a covering provider DEA registration number who can prescribe on their behalf.
  • A copy of current, unrestricted California medical license to practice, issued by the appropriate licensing board. A license status of probation may be considered restricted based on terms and conditions.

Note: Failure to submit the completed, signed and dated application and supporting documents timely will result in termination from the Blue Shield of California network. Incomplete applications cannot be processed, therefore please include all of the required documents.

Where to send your application

Please send your completed recredentialing application and all required documents to the Credentialing Department via either email or mail to:


Mail: Blue Shield of California
      Attn: Credentialing Department
      601 12th Street, 21st Floor
      Oakland, CA 94607

If you have contracting questions, call Provider Information & Enrollment:
Phone:(800) 258-3091