PAYER READY CREDENTIALING & COMPLIANCE
Commercial

Anthem Blue Shield

Credentialing and enrollment guides for Anthem Blue Shield across 51 states.

60-90 days CAQH Required Re-credential every 3 yrs

Quick Overview

Timeline

60 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

States Available

51

How Anthem Blue Shield Credentialing Actually Works

Verified July 2026

Timeline

Committee review typically lands about 45 days after a complete application; plan on 90 to 120 days end to end

Recredentialing

Every 36 months, with CAQH re-attestation roughly every 120 days

CAQH ProView profile pulled through Availity's Digital Provider Enrollment flow

Behavioral health routing: Behavioral health is carved out to Carelon Behavioral Health. Behavioral clinicians credential with Carelon, not with Anthem medical.

The stall to avoid: The top stall for behavioral clinicians is an application filed with Anthem medical instead of Carelon: it sits in the wrong queue indefinitely.

From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.

About Anthem Blue Shield

Anthem Blue Cross Blue Shield is one of the largest health insurers in the United States, serving over 45 million members across 14 states. Anthem offers commercial, Medicare Advantage, Medicaid, and individual marketplace health plans.

How to Get Credentialed

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.

2

Complete Your CAQH ProView Profile

Anthem Blue Shield requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.

3

Submit Your Application

Submit your completed enrollment package to Anthem Blue Shield. Select your state below for state-specific submission details.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Anthem Blue Shield?

Our specialists handle the entire Anthem Blue Shield enrollment process: applications, follow-ups, and approvals across all 50 states.

Required Documents

Board Certification

Required if board certified; highly recommended

CV/Resume

DEA License

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Online Download

Contact Information

Credentialing & Enrollment

1-800-624-0756

Mon-Fri 8am-5pm

Provider Relations

1-800-624-0756

Claims Inquiry

1-800-624-0756

Need Help?

Let PayerReady handle your Anthem Blue Shield credentialing and enrollment.

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

Need help enrolling with Anthem Blue Shield?

Our credentialing specialists handle the entire enrollment process: applications, follow-ups, and approvals across all 50 states.

Free consultation. No commitment required.

Select Your State

Choose your state for Anthem Blue Shield-specific credentialing details including timelines, contacts, and local requirements.

Anthem Blue Shield credentialing requirements by state

Anthem Blue Shield enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Anthem Blue Shield operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.

Anthem Blue Shield credentialing requirements by state
State Network State-specific notes
Alaska Open
Alabama Open
Arkansas Open
Arizona Open
California Open
Colorado Open
Connecticut Open
District Of Columbia Open
Delaware Open
Florida Open
Georgia Open
Hawaii Open
Iowa Open
Idaho Open
Illinois Open
Indiana Open
Kansas Open
Kentucky Open
Louisiana Open
Massachusetts Open
Maryland Open
Maine Open
Michigan Open
Minnesota Open
Missouri Open
Mississippi Open
Montana Open
North Carolina Open
North Dakota Open
Nebraska Open
New Hampshire Open
New Jersey Open
New Mexico Open
Nevada Open
New York Open
Ohio Open
Oklahoma Open
Oregon Open
Pennsylvania Open
Rhode Island Open
South Carolina Open
South Dakota Open
Tennessee Open
Texas Open
Utah Open
Virginia Open
Vermont Open
Washington Open
Wisconsin Open
West Virginia Open
Wyoming Open

Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified April 2, 2026. Network status changes without notice — confirm before you file.

Common questions about Anthem Blue Shield credentialing

How long does Anthem Blue Shield credentialing take?

Anthem Blue Shield credentialing typically takes 60–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.

Does Anthem Blue Shield require CAQH?

Yes. Anthem Blue Shield pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Anthem Blue Shield before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.

Which states does Anthem Blue Shield operate in?

Anthem Blue Shield has credentialing operations in 51 states. 51 of those 51 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.

Every month un-credentialed is revenue you never bill

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