Join our network

We’re glad to hear that you are interested in joining the Wellpoint provider network in Texas. We have a diverse network of exceptional healthcare professionals who help to ensure our members have uninterrupted access to the healthcare they need. We make getting started easy with our online application process.

Behavioral health, PCP, specialty care, and non-credentialed providers, please select Begin Application.

Begin application

Credentialing with Wellpoint

Credentialing is the process Wellpoint uses to evaluate and select licensed independent practitioners to provide care to our members. Wellpoint uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing process.

Credentialing overview

Why do we credential?

Credentials are evaluated according to criteria set forth in our policy to ensure the competency and conduct of the healthcare professionals serving members in our network.

Who do we credential?

We credential licensed healthcare professionals with whom the company intends to contract and market to our members. Our Program Summary includes a complete list of provider types we credential and those we do not.

Note: Facilities (health delivery organizations) may also need to be credentialed before joining the network.

Credentialing process

Register with CAQH (if you are not already registered). You may self-register by visiting proview.caqh.org.  This is a secure and private website.
Authorize Wellpoint so we can access your credentialing information. If you are already registered with CAQH, you will need to give us permission to review your information.
If you need assistance, please review the New Provider Quick Reference Guide or call the CAQH Provider help line at 888-599-1771.
Review and update your application. Please ensure all sections of the application are complete and accurate.

A complete application includes:

Your signature and application date.

Your CAQH status of initial Application Complete or Reattestation.

Your current license to practice in each state where services are provided.

Your education/training to support requested specialty(ies) (or documentation that you will complete training within 60 days of application).

Your current hospital privilege information.

Your current DEA or CDS certificate in each state where services are provided.

Explanations to questions on the application.

Five years of work history, in month/year format.

Your current professional liability insurance.

Your allowing a site review within 30 days of our request if applicable.

The credentialing process typically takes 45 days from the time the credentialing department receives your completed CAQH application.

Recredentialing

Wellpoint recredentials network providers every three years. If your CAQH application is current and complete at that time, no additional effort on your part may be required. If your CAQH is expired or missing information, we will contact you to update the information.

Non-response to recredentialing requests

If you do not update your CAQH or supply the required information for recredentialing by the due date, your application will be considered incomplete and will result in an administrative termination from the network.

Provider rights

Providers have the right to:

Review information submitted to support their credentialing application.

Correct erroneous information.

Receive the status of their credentialing or recredentialing application upon request.

For a complete list of your credentialing rights as a provider, please review the Practitioner Credentialing Rights. To review your application or correct submitted information, please email our credentialing team at Credentialing@Wellpoint.com.

Already in our network?

If you are an existing contracted Provider with Wellpoint and you have a question about your network status or participation, please contact our Provider Relations team.