Reminder: Provider Enrollment 7 – 7 – 7 Rule
Aug. 4, 2023
BlueCross BlueShield of South Carolina’s provider enrollment process has undergone a transformation with the implementation of My Provider Enrollment Portal (MyPEP), which is our web-based solution for credentialed providers or those interested in credentialing with BlueCross to complete the enrollment process.
Since its implementation in 2022, continuous upgrades and enhancements have improved the portal’s performance. One of the enhancements was the addition of the automated notifications for missing items. While this process is not new, we had not enacted this process in MyPEP to date. Due to recent timeliness regulations from South Carolina Department of Health and Human Services and other entities, it is now necessary for us to implement this process.
What this means for you:
If we receive an application but it has missing items, we will send an automated notification every seven days, with a 21-day maximum. The notification goes to the contact email address listed on the application and will include which items are missing. Once we receive the missing information, we will review the application and the additional notifications will stop.
If we do not receive the missing items within 21 days, the case will be placed into a “Canceled – Incomplete Submission” status. Once in this status, we cannot reopen the application, and the provider must submit a new application.
For questions on this bulletin, please contact the Provider Education team at Provider.Education@bcbssc.com or 803-264-4730.