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Commonly Asked Questions about Anthem new provider Application Forms

You can also call a representative at 800-300-8181 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. and on Saturday from 9 a.m. to 5 p.m. Eastern time.
Provider Maintenance Form. The Provider Maintenance Form (PMF) is to be used by California physicians, practitioners, professionals and ancillary providers to request changes to their practice profiles with Anthem BlueCross.
Request precertification and give us notification: Online at .empireblue.com/nymedicaiddoc. By phone at 1-800-450-8753. Precertification Precertification means the authorization of specific services or activities before they are rendered or occur.
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.
For further questions, please contact Provider Services toll free at 1-800-450-8753. Online at .empireblue.com/nymedicaiddoc.
The Credentialing process typically takes 45 days from the time the Credentialing Department receives your completed CAQH application.
Credentialing process Register with CAQH (if you are not already registered). You may also self-register via a secure and private website. Authorize Highmark BCBS so we can access your credentialing information. If you already registered with CAQH, you will need to give us permission to review your information.