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Before you start

Use this guide when BlueCross BlueShield of South Carolina is a required registration plan for your practice or claim-service location. Its My Provider Enrollment Portal (MyPEP) has different routes for in-state and out-of-state records. Behavioral-health practices may need the payer to clarify the route before proceeding. If registration is incomplete, claims can be delayed. Not sure which plan applies? First identify your required Local / Host Plan. Registration is separate from joining a network.

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Confirm the right application

1

Check the location and provider type

Open the official enrollment checklists. Under Other Checklists, choose In State, Out-of-Network or Out-of-State, Out-of-Network according to the actual service location.Use an out-of-state application only when South Carolina’s plan has been identified as required. A client’s South Carolina insurance card alone does not establish that requirement.
2

For behavioral health, resolve any network-only instructions

The MyPEP manual says behavioral-health specialties can lead to a separate behavioral-health path. If it asks you to join the network or does not clearly offer non-participating registration, call 800-868-2510 and ask for Provider Enrollment.Ask: “Our practice wants to remain out of network. Which application registers our practice and links our clinicians for our service location? Does BlueCross or the behavioral-health administrator handle these records?”Do not select a physician specialty or sign a network agreement to bypass that question. Thrizer cannot confirm whether BCBS South Carolina/CBA recognizes an associate clinician.
3

Prepare the applicable documents

  • In-state group: the checklist requests the group application, IRS TIN verification, EFT enrollment, and the Out of Network choice.
  • In-state individual: the checklist’s physician section lists the Health Professional Application and Authorization to Bill for each individual linked to the practice. Ask the payer what applies to a behavioral-health clinician.
  • Out-of-state, out-of-network: the checklist requests an NPI notification form and W-9.
These payer enrollment requirements do not change Thrizer’s claim structure or BCBS reimbursement options.
4

Open MyPEP and follow the confirmed route

Open Provider Enrollment and select Get Enrolled. Sign in or set up access if needed, then complete the payer-confirmed application with accurate practice, clinician, location, and participation information.Your practice coordinates the records and affiliations. Keep the case information and confirm active registration; creating a portal account alone is not enough.

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If you already have a record

Ask Provider Enrollment which maintenance or clinician-affiliation request applies. The portal’s Request to Add a Practitioner is distinct from establishing a new practice. Confirm the existing record and the correct request before submitting.

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What happens next

Once each required plan confirms registration and the required clinician associations are active, notify Thrizer support and review what happens next. The payer controls registration and claim decisions. Registration does not guarantee reimbursement or recognition of every clinician category. For associate, pre-licensed, or supervised clinicians, ask the payer about recognition and review Thrizer’s supported claim structure.