Upcoming Changes to the Provider Paper Enrollment Forms

Jan. 24, 2020

UPDATED: Feb. 13, 2020

Beginning April 15, 2020, Blue Cross and Blue Shield of Oklahoma (BCBSOK) will no longer accept the following paper forms for provider enrollment into the BCBSOK networks.

Submissions with these forms after April 15, 2020 will be rejected.

  • Group Provider Record/Contracting Packet
  • Professional Provider Record/Contracting Packet
  • Primary Care Physician Solo Provider Record/ Contracting Packet
  • Specialist Physician Solo Provider Record/ Contracting Packet
  • Mid-level Solo Provider Record/ Contracting Packet

BCBSOK is streamlining the provider enrollment process which will allow more accurate and faster processing. The most efficient way to join the BCBSOK network is through the online enrollment process How to Join Our Networks.

If paper submissions are necessary, please use the following forms, which can be found on our provider website under the Education and Reference Center / Forms.

For additional information Email provider inquiries or call the Provider Contract Support Unit at 800-722-3730, Option 2.

Please Note: Submission of the application does NOT mean that you are a participating provider or that a contract will be offered. Until you are credentialed and contracted with an effective date, your claims will process as out-of-network. A welcome letter will be sent once you are loaded into the BCBSOK provider database as a contracted provider. If you don’t receive approval to contract with BCBSOK, you will receive a notification.