Lack of timely return of the completed recredentialing profile may result in network termination. The Anthem Network. Shop for Insurance. 1-800-455-6805. Credentialing Specialist Anthem August 2017 – Present 2 years 3 months. We are now processing credentialing applications submitted on or before November 11, 2020. BCBS aka Blue Cross Blue Shield Association is a widely recognized federation of 36 separate Health Insurance organizations, and Companies. January 18, 2019, admin, Leave a comment. Once the credentialing process is completed and a decision is made on network participation, the physician/practitioner is notified via letter. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. anthem provider credentialing contact › Verified 2 days ago State of Georgia government websites and email systems use “” or “” at the end of the address. We will notify you once your application has been approved or if additional information is needed. 1 Cameron Hill Circle, Chattanooga TN 37402-0001 Contact Network Management to obtain information about credentialing, provider numbers, contracts and sample fee schedules. Credentialing is the process by which Blue Cross and Blue Shield of Oklahoma (BCBSOK) reviews and validates the professional qualifications of physicians and certain other providers who apply for participation with our health care organization, ensuring that they meet the professional standards. Members can call EyeQuest at 1-800-787-3157 (TTY 1-800-466-7566) for help finding an Anthem eye doctor in your area. Inform us of demographic changes whenever your practice information changes. This association, which includes different well-known insurance providers, covers more than 106 million citizens in America. Please note that this number is used solely to receive calls from BCBS members seeking assistance and never to make calls to BCBS members. ... To check the status of your provider credentialing application please e-mail our credentialing department at Local, state, and federal government websites often end in .gov. Blue Cross of Idaho does not require credentialing for practitioners exclusively working in an inpatient setting. In Ohio: Community Insurance Company. Prior Authorization & Claims. Learn More BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. Anthem EDI Solutions Helpdesk. We are contracting with NPs and PAs who are licensed by the Virginia Board of … Publicly traded and privately owned insurance companies like Anthem, CareFirst, Highmark, Premera, Cambia Health Solution, etc. View your credentialing status in Payer Spaces on the Availity Provider Portal. All providers interested in participating in our networks must complete and return a credentialing application, as explained below. Effective Oct. 1, 2020, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will begin using Verifide, a credentialing verification organization, to conduct primary source verification. ... Credentialing and Contracting. Contact. The Process-BCBS Insurance Credentialing Services. Anthem Blue Cross and Blue Shield in Virginia and our affiliate HealthKeepers, Inc. are now directly contracting and credentialing nurse practitioners (NPs) and physician assistants (PAs). Notify us of any changes. Member Eligibility & Benefits. Credentialing Status Checker. Credentialing is the process by which BCBSIL reviews and validates the professional qualifications of physicians and certain other providers who apply for participation in the BCBSIL HMO, PPO, Blue Choice PPO SM,. Completion of the credentialing process takes 30-60 days. Since 2005, Bikham Healthcare has worked with healthcare practices and organizations across the U.S., providing impeccable credentialing and enrollment services. 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. Credentialing | Effective January 1, 2020, the agreement between Anthem and the Franciscan Alliance is ending. Please include your CAQH ID when completing this portion of the form. The Power of Community to Get us to the Other Side of COVID-19 The Blue Cross credentialing department starts the process based on the last credentialing or recredentialing approval date. In Indiana: Anthem Insurance Companies, Inc. Please access the initial credentialing request form and complete the form by providing your information in the blue [required] fields. If you have been receiving your Hoosier Healthwise health care benefits through the Franciscan network of doctors, starting January 1, you will receive the same benefits through the Anthem network. When your credentialing application form has been approved by the Credentialing Committee, we will send you a provider agreement. Learn about insurance options for Individuals & Families or Employers, or get connected with your local Blue Cross Blue Shield company by calling 888.630.2583.. Nevada Medicaid members under 21 also get eyeglasses or contact lenses (if medically necessary). CAQH is used for Credentialing purposes only and not to update Highmark provider data. Blue Cross Medicare Advantage (PPO) SM and Blue Cross Medicare Advantage (HMO) SM, ensuring they meet our professional standards. Anthem. Anthem Blue Cross and Blue Shield is the trade name for the following: In Indiana, Anthem Blue Cross® and Blue Shield® is the trade name of Anthem Insurance Companies, Inc. blue cross credentialing contact. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. To streamline the credentialing application process, we work with CAQH.Fill out one online application for use with over 650 of the nation's leading health plans, hospitals and practitioner groups, saving you time and paperwork. If you have any questions, you can contact your Network Relations consultant or call Provider Services at the following numbers: • Hoosier Healthwise — 1-866-408-6132 • Healthy Indiana Plan — 1-844-533-1995 • Hoosier Care Connect — 1-844-284-1798 Anthem Blue Cross and Blue Shield If you need assistance completing the credentialing process with insurance companies in a timely manner, we ensure your credentialing and contracting goes as seamlessly as possible. Health Details: Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. Read Frequently Asked Questions to learn more. Note that Anthem is also available 24/7 to accept claims, prior authorization requests and more via the Availity Portal . Anthem uses the Council for Affordable Quality Healthcare (CAQH) ProView application for credentialing. It is important that you provide us with your correct fax number and e-mail address within the application as BCBSTX has various initiatives underway that will facilitate electronic delivery of key information to you and your practice in the near future. Blue Cross ® , Blue Shield ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Update on Credentialing and Recredentialing Process. Provider Support. ® Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Third Party Website Icon: Please be aware when you are on the Blue Cross and Blue Shield of Minnesota (Blue Cross) website and see this Third Party Website icon, you will be connected to a third party site, whether via links provided by Blue Cross or otherwise, and you will be subject to the privacy policies of the third party sites. Read our latest articles. Network participation . ... please contact the Anthem Web Support Help Desk at 866-755-2680. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. All practitioners are expected to respond to requests in a timely manner. Our credentialing and contracting process is in accordance with … ©1998-2020 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association. Within three (3) days of receiving your credentialing application form, we will send an email confirmation to you and forward the application to our Credentialing Committee. In Kentucky, Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. Becoming your single point of contact for Anthem BCBS and all other BCBS plans, Anthem Medicare Advantage, Medical Mutual of Ohio, and other Health Plans NorthCoast welcomes new providers. Credentialing is required for all contracting practitioners who wish to appear in our provider directory. Visit Anthem Blue Cross Blue Shield for group health insurance plans in Virginia. ThinkAnthem is dedicated to sharing Anthem Inc.'s insights with the health care community. Blue Cross Blue Sheild(BCBS)is a renowned federation consisting of 36 different Health Insurance organizations and companies. In Connecticut: Anthem Health Plans, Inc. Mailing address: Blue Cross and Blue Shield of North Carolina P.O. Our mailing address is: Highmark Fifth Avenue Place 120 Fifth Avenue Pittsburgh, PA 15222-3099 (412) 544-7000 (TTY/TDD: 711) Thank you for your interest in becoming a participating provider in Independence’s provider networks. After you submit the Provider Onboarding Form to get credentialed, check the status of your credentialing process by entering your NPI or license number in our Credentialing Status Checker. The .gov means it’s official. Box 2291 Durham, NC 27702-2291 Richmond, Virginia.