Anthem blue cross credentialing. org and select CAQH ProView™.

Anthem blue cross credentialing We’re glad to hear that you are interested in joining the Anthem Blue Cross and Blue Shield (Anthem) network. This article, published under the former brand, now applies to Anthem. Visit Anthem. In Wisconsin:. Become an Anthem provider and join the nation’s second- largest health plan-owned behavioral health company, serving more than 13. (CAQH) ProView ®, the industry standard for capturing and sharing self‑reported professional and practice information. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Credentialing program summary guide This communication applies to the Commercial, Medicaid, and Medicare Advantage and programs for Anthem Blue Cross and Blue Shield (Anthem) in Indiana. Providers can also find information related to long-term services and supports (LTSS), interpreter assistance, community-based adult Welcome Thank you for being part of the Anthem Blue Cross and Blue Shield (Anthem) provider network. Communications News - Read about Anthem Blue Cross policies and processes, updates to clinical guidelines and other issues affecting your practice and patients. Certifications, credentialing, and licensing Applied behavior analysis (ABA) and treatment services are used to treat autism spectrum disorder through scheduled therapeutic appointments between the approved provider and the patient. In Virginia: Anthem Health Plans of Virginia, Inc. We are happy to talk with you about joining the Anthem provider network if you have questions or are not yet ready to start the online application process. It streamlines provider data collection by using a standard electronic form that meets the needs of most dental plans, hospitals, and other Find out what's involved in credentialing when you want to join our network as a provider and how to recredential when necessary. Log in to find contact information specific to your area and plan. Take the first step toward growing your practice and serving Anthem Blue Cross Blue Shield members. This communication applies to the Commercial, Medicare, Medicaid, and Medicare-Medicaid Plan (MMP) lines of business. Dec 1, 2023 · This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Connecticut. If you wish to become a contracted provider or add a professional provider to your existing group, please complete an Anthem digital provider enrollment application, available at Availity. Please note: Credentialing for a provider may take up to 90 days from receipt of a completed application. 8 million members. Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. Dec 1, 2023 · This communication applies to Commercial and Medicare Advantage plans from Anthem Blue Cross and Blue Shield (Anthem) in Missouri. Dec 1, 2018 · The Council for Affordable Quality Healthcare (CAQH®) universal credentialing process is used for all providers who contract with Anthem Blue Cross (Anthem). At MediBill RCM, we specialize in Anthem credentialing, guiding healthcare providers through the complexities of working with Anthem Blue Cross Blue Shield (BCBS). The National Committee on Quality Assurance (NCQA) has advised Durable Medical Equipment (DME) providers are to be considered within the scope of an entity’s credentialing program for accreditation purposes. In the field below, please include the reference number provided to you from your live chat or phone call. Anthem uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. New Provider Application Form The New Provider Application Form should be used by Georgia physicians, providers and professionals to submit a request to join the networks for Blue Cross and Blue Shield of Georgia (BCBSGa). org and select CAQH ProView™. Join our network today! Feb 1, 2025 · We use the American Dental Association ® (ADA) credentialing service, powered by the Council for Affordable Quality Healthcare, Inc. Sign and return all contract documents, as applicable. Non Please select the state in which you are serving Anthem members based on the type of program they are enrolled in. Contact Anthem Blue Cross and Blue ShieldAnthem Blue Cross and Blue Shield (Anthem) contacts Anthem Provider Services Anthem provides one convenient number for all provider questions and inquiries, including: Behavioral health Case management Claims Credentialing and recredentialing Eligibility and benefits Grievances and appeals Medical management Precertification Oct 17, 2025 · For provider questions and claims issues, please contact our Provider Services team. e name of Blue Cross of California. Anthem Blue Cross provider contacts California | Anthem Blue Cross | Commercial Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. Receive the status of their credentialing or recredentialing application upon request. This secure and private website reduces the amount of paperwork you need to fill out to complete the credentialing process. Dec 1, 2023 · Administrative | Commercial / Medicare Advantage / Medicaid | December 1, 2023 New requirements for credentialing and recredentialing Beginning January 1, 2024, Empire became Anthem. Provider Enrollment Application A new, quick, and intuitive way to enroll and become a participating provider with Anthem Blue Cross and Blue Shield (Anthem) Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. Anthem Blue Cross and Blue Shield and its affiliate Healthkeepers, Inc. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are Provider Education Anthem Blue Cross (Anthem) offers training and tutorials to support providers in continuing their education through the Provider Training Academy. Credentialing requirements apply to the following: Practitioners who are licensed, certified or registered by the state to practice independently (without direction or supervision); Dec 1, 2023 · This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia. Approved service providers include psychiatrists (MDs), psychologists (PhDs), licensed clinical social workers (LPCs), licensed marriage and family therapists Anthem Blue Cross and Blue Shield (Anthem) has a diverse network of exceptional health care professionals who ensure our members have uninterrupted access to the health care they need. Contact Us - Tools to aid in contacting Anthem’s various departments. To apply for credentialing with Anthem, go to the CAQH website at https://www. Dec 1, 2023 · This communication applies to Commercial and Medicare Advantage plans from Anthem Blue Cross and Blue Shield (Anthem) in New Hampshire. Providers interested in joining our network should first complete enrollment with the Virginia Department of Medical Assistance Services (VA DMAS) using the Medicaid Enterprise System (MES) provider website PRSS. Dec 1, 2023 · This communication applies to Commercial, Medicaid, and Medicare Advantage plans from Anthem Blue Cross (Anthem) in California. Oct 17, 2025 · Anthem has a diverse network of exceptional health care professionals who help ensure our members have uninterrupted access to the health care they need. How Can We Help You? The Availity portal can answer most questions, plus you can live chat with an associate. Apply online to be an Anthem healthcare provider. During the credentialing process, Anthem will review, among other things, verification of the credentialing data as described in the following tables unless otherwise required by regulatory or accrediting bodies. To review your application or correct submitted information, please email our credentialing team at credentialing@anthem. For a complete list of your credentialing rights as a provider, please review the Practitioner Credentialing Rights. Education and Training - Access tools and complimentary trainings to stay current on changes and updates at Anthem. This Companion Guide to the Indiana Medicaid Provider Manual is designed to provide the vital information you need to assist you with the credentialing and recredentialing process. In Ohio: Community Insurance Company. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members: Anthem uses CAQH (Council for Affordable Quality Healthcare) ProView™ to collect and verify healthcare professionals’ qualifications, including certification, training, licensure and registration to practice. Behavioral health benefits are integrated into Anthem medical plans for a full spectrum of coordinated care for our members. Provider quick reference guide: self-service tools Provider quick reference guide: self-service tools This guide was created to help providers work with Anthem Blue Cross (Anthem). This communication applies to Commercial, Medicaid, and Medicare Advantage plans from Empire. serve all of Virginia except for the City of Fairfax, the Town of ienna, and the area east of State Route 123. Find out the credentialing requirements for physicians and other healthcare professionals to join the Blue Shield of California network. com today for more information. | Anthem HealthKeepers Plus Medicaid products | December 1, 2023 New requirements for credentialing and recredentialing Select a Category I want to enroll or join your provider network I have questions about claims I have a question about payments, authorizations, or sending in additional information I have questions about credentialing I need to update practice or provider demographic information I want to access fee schedules or request copies of contracts I Contact Anthem Blue Cross (Anthem) For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. We have a diverse network of exceptional healthcare professionals who ensure our members have uninterrupted access to the healthcare they need. Explore resources, benefits and eligibility requirements. Be fully credentialed by Anthem. Become a Network Provider To be eligible to join Anthem as a provider, you must: Have an active Department of Health Care Financing and Policy (DHCFP) Medicaid provider ID number. com to register for our web portal and find policies, forms, and the latest newsletter. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc. ade name of Anthem Insurance Companie , Inc. Click Dec 1, 2023 · Administrative | Anthem Blue Cross and Blue Shield | Commercial / Anthem Blue Cross and Blue Shield | Medicare Advantage / HealthKeepers, Inc. Correctly and completely submit the credentialing application and required documentation. To check the status of your application, please contact Anthem Blue Cross and Blue Shield’s credentialing department at Credentialing@anthem. , serving all of Virginia except for Email a Provider Experience Associate for assistance. We have consolidated our resources for dental providers to make it easier to find the tools and information you need. Contact Customer Support by phone or Live Chat. We’re glad you are interested in joining the Anthem HealthKeepers Plus network. We will add presentations, videos and other training documentation as they become available. If you still need assistance, this form will let you contact the Provider Relationship Account Management team. You can start an application process to join the Medi-Cal Managed Care provider network at Anthem at any time. caqh. com. New groups/providers will receive a Credentialing program summary guide This communication applies to the Commercial, Medicaid, and Medicare Advantage and programs for Anthem Blue Cross and Blue Shield (Anthem) in Indiana. Our automated credentialing and enrollment solutions simplify every stage of the provider enrollment process, helping you stay efficient and compliant. , is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Complete the CREDENTIALED PROVIDER section of this form if you have a completed up-to-date credentialing application with CAQH and require credentialing by BCBSGa. kt49 3iuhdt snuk aqyihn k0sc bcnlcr 4phjhaxk u1s9e bzws ypahfez