Create your Anthem new provider Application Form from scratch

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Here's how it works

01. Start with a blank Anthem new provider Application Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Anthem new provider Application Form in seconds via email or a link. You can also download it, export it, or print it out.

Create Anthem new provider Application Form from scratch with these detailed guidelines

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Step 1: Get started with DocHub.

Start by registering a free DocHub account using any offered sign-up method. Just log in if you already have one.

Step 2: Register for a free 30-day trial.

Try out the whole suite of DocHub's advanced tools by registering for a free 30-day trial of the Pro plan and proceed to build your Anthem new provider Application Form.

Step 3: Build a new empty doc.

In your dashboard, select the New Document button > scroll down and hit Create Blank Document. You’ll be taken to the editor.

Step 4: Arrange the view of the document.

Utilize the Page Controls icon marked by the arrow to toggle between two page views and layouts for more convenience.

Step 5: Begin by inserting fields to design the dynamic Anthem new provider Application Form.

Navigate through the top toolbar to add document fields. Insert and format text boxes, the signature block (if applicable), insert images, etc.

Step 6: Prepare and customize the incorporated fields.

Organize the fillable areas you incorporated per your preferred layout. Personalize each field's size, font, and alignment to make sure the form is user-friendly and professional.

Step 7: Finalize and share your document.

Save the finalized copy in DocHub or in platforms like Google Drive or Dropbox, or create a new Anthem new provider Application Form. Share your form via email or use a public link to engage with more people.

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Build your Anthem new provider Application Form in minutes

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
If you have questions regarding the Anthem provider application process, please call 1-800-992-BLUE (2583), and select the following prompts: Option 1: Medical Providers. Option 4: Updates and Other Information.
By Phone: Call the number on the back of the members ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative.
Anthem/BCBS requirements A provider must live in their state of residence for a minimum of 183 days in order to be considered a resident. Holding an office in the state does not qualify providers for credentialing.
Credentialing with Anthem Anthem uses CAQH (Council for Affordable Quality Healthcare) ProView to collect and verify healthcare professionals qualifications, including certification, training, licensure and registration to practice.
Become a Network Provider Correctly and completely submit the credentialing application and required documentation. Be fully credentialed by Anthem. Sign and return all contract documents, as applicable. New groups/providers will receive a Participating Health Provider Agreement (contract).
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Build your Anthem new provider Application Form in minutes

Start creating now