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The credentialing process should be completed within 180 days of the date the provider signs the attestation form of the application. Before the contract is executed, providers and their services must be approved by Carelon National Credentialing Committee (NCC).
The credentialing process typically takes 45 days from the time the credentialing department receives your completed CAQH application.
In the most basic terms, provider enrollment (sometimes referred to as payer enrollment) is the process through which healthcare providers apply to be included in a health insurance network. As an in-network provider, you will be able to treat patients who carry that insurance and be reimbursed for your services.
Non-participating providers: Call the number on the back of the members ID card or call 800-676-BLUE (2583) to reach Provider Services. You can also use chat or secure messaging directly in Availity.
Becoming In-Network with Insurance Companies Obtain NPI and Other Necessary Credentials. Get Malpractice Insurance. Make a List of Insurance Companies. Open CAQH Account. Contact Insurance Companies. Follow up with Insurance Companies. Response from Insurance Companies.
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Credentialing Process Register with CAQH (if you are not already registered). Authorize Anthem so we can access your credentialing information. If you need assistance, please review the New Provider Quick Reference Guide or call the CAQH Provider help line at 888-599-1771. Review and update your application.
Filing your claims should be simple. Thats why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more.

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