Streamlined credentialing and provider enrollment processes

BMC HealthNet Plan’s membership in HealthCare Administrative Solutions, Inc (HCAS) helps streamline the credentialing process for providers. Several Massachusetts health plans founded the non-profit entity to collaborate on administrative simplification. The credentialing process, which is nearly seamless to providers, offers a single point-of-entry to submit information used to determine a provider’s qualifications to treat patients and participate in health plan networks.

Initial applicants to the Plan will be credentialed through HCAS, which has an arrangement with Aperture, a national credentialing verification organization, to centralize and streamline the credentialing process. Aperture partners with CAQH to obtain updated data from providers requesting to join the network. For more information, go to the HCAS Web site.

BMC HealthNet Plan also has a centralized process for enrolling providers into the network. Here are the steps to become credentialed and enrolled at BMC HealthNet Plan:

• Complete an HCAS Enrollment Form, available here.
• Complete a BMC HealthNet Plan Provider Data Form, available in Section 15 of our online Provider Manual
• Once the forms are completed, submit the information in one of the following ways: 
  • Fax the documents to 1-617-897-0818. 
  • E-mail the documents to BMCHP.providerprocessingcenter@bmchp.org
  • Postal-mail the documents to

    Boston Medical Center HealthNet Plan, Provider Processing Center,

    BMC HealthNet Plan

    Two Copley Place, Suite 600

    Boston, MA 02116

    .

Once we receive your forms, we will begin the credentialing process through Aperture, whose representatives may contact you to verify information.

Please note: This credentialing process does not change how you interact with our Provider Relations team. You should still call your Provider Relations representative with administrative questions, or you can call our provider line at 888-566-0008.