Anthem / Elevance Health
Credentialing and enrollment guides for Anthem / Elevance Health across 51 states.
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
How Anthem / Elevance Health Credentialing Actually Works
Verified July 2026Apply Through
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 / Elevance Health
BCBS licensee in 14 states. Uses CAQH ProView for credentialing and Availity for enrollment/transactions.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Anthem / Elevance Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Anthem / Elevance Health. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Anthem / Elevance Health?
Our specialists handle the entire Anthem / Elevance Health 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
VOIDED_CHECK
W9_FORM
Contact Information
Credentialing Status
1-888-599-1771
Claims Inquiry
1-800-676-2583
EDI via Availity
1-800-282-4548
Provider Relations
1-800-676-2583
ERA/EFT Enrollment
1-800-282-4548
Need Help?
Let PayerReady handle your Anthem / Elevance Health credentialing and enrollment.
Get Started NowAvailable States
+ 36 more states below
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.
Select Your State
Choose your state for Anthem / Elevance Health-specific credentialing details including timelines, contacts, and local requirements.
Anthem / Elevance Health credentialing requirements by state
Anthem / Elevance Health enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Anthem / Elevance Health operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | MA members | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|---|---|
| Alaska | Anthem (Elevance Health) | 63 | Open | — | — | Alaska is not an Anthem BCBS state. Limited Anthem presence; commercial products through Elevance. Use Anthem's provider portal. AK license required. |
| Alabama | Anthem (Elevance Health) | 10,429 | Open | — | — | Alabama is not an Anthem BCBS state. Enroll through Anthem's own provider portal for commercial products. Anthem offers Medicare Advantage and select employer plans. AL state license required. |
| Arkansas | Anthem (Elevance Health) | 248 | Open | — | — | Arkansas is not an Anthem BCBS state. Limited presence; commercial products. Enroll through Anthem's portal. AR state license required. |
| Arizona | Anthem (Elevance Health) | 10,326 | Open | — | — | Arizona is not an Anthem BCBS state. Enroll through Anthem's provider portal for commercial and Medicare Advantage. CAQH ProView accepted. AZ license verification required. |
| California | Anthem Blue Cross | 295,861 | Open | 45–120 days |
Provider portal
800-676-2583
|
Anthem (a brand of Elevance Health) enrolls providers through Availity Essentials: register or log in, select your state, go to Payer Spaces > Anthem > Applications > Provider Enrollment. Submitting generates an Application ID beginning with "PR-" and a status dashboard (Submitted, In process, Ready to See Members). Anthem credentials through CAQH ProView — maintain a complete profile, authorize Anthem to access it, and re-attest every 120 days. The credentialing review takes about 45 days once Anthem receives a complete CAQH file; allow 90–120 days end-to-end through Availity. The Credentials Committee meets at least every 45 days. Recredentialing occurs every 3 years; an expired or incomplete CAQH profile at that point can trigger administrative termination. Non-participating provider services: 800-676-2583. In California the plan is Anthem Blue Cross (Blue Cross only — Blue Shield of California is a separate, unrelated company). |
| Colorado | Anthem Blue Cross Blue Shield | 4,649 | Open | — | — | Anthem operates as BCBS licensee in Colorado. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial, Medicare Advantage, and individual marketplace plans. CO state license and malpractice verification required. |
| Connecticut | Anthem Blue Cross Blue Shield | 68,533 | Open | — | — | Anthem operates as BCBS licensee in Connecticut. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial HMO/PPO, Medicare Advantage, and HUSKY Health (Medicaid). CT-specific disclosure requirements apply. |
| District Of Columbia | Anthem (Elevance Health) | 41 | Open | — | — | DC is not an Anthem BCBS state. Anthem offers select commercial and Medicare Advantage products. Enroll through Anthem's portal. DC medical license required. |
| Delaware | Anthem (Elevance Health) | 991 | Open | — | — | Delaware is not an Anthem BCBS state. Limited Anthem presence. Enroll through Anthem's provider portal. DE license required. |
| Florida | Anthem (Elevance Health) | 295,249 | Open | — | — | Florida is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage (through Elevance). Enroll via Anthem's provider portal. FL background screening for Medicaid. CAQH ProView accepted. |
| Georgia | Anthem Blue Cross and Blue Shield | 99,262 | Open | 45–120 days |
Provider portal
800-676-2583
|
Anthem (a brand of Elevance Health) enrolls providers through Availity Essentials: register or log in, select your state, go to Payer Spaces > Anthem > Applications > Provider Enrollment. Submitting generates an Application ID beginning with "PR-" and a status dashboard (Submitted, In process, Ready to See Members). Anthem credentials through CAQH ProView — maintain a complete profile, authorize Anthem to access it, and re-attest every 120 days. The credentialing review takes about 45 days once Anthem receives a complete CAQH file; allow 90–120 days end-to-end through Availity. The Credentials Committee meets at least every 45 days. Recredentialing occurs every 3 years; an expired or incomplete CAQH profile at that point can trigger administrative termination. Non-participating provider services: 800-676-2583. |
| Hawaii | Anthem (Elevance Health) | 453 | Open | — | — | Hawaii is not an Anthem BCBS state. Minimal Anthem presence; primarily national employer commercial plans. HI Prepaid Health Care Act may apply. |
| Iowa | Anthem (Elevance Health) | 3,786 | Open | — | — | Iowa is not an Anthem BCBS state. Limited Anthem presence; commercial products through Elevance. Enroll via Anthem's portal. IA license required. |
| Idaho | Anthem (Elevance Health) | 1,268 | Open | — | — | Idaho is not an Anthem BCBS state. Limited presence; commercial products. Enroll through Anthem's provider portal. ID state license required. |
| Illinois | Anthem (Elevance Health) | 2,822 | Open | — | — | Illinois is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage products through Elevance Health. Enroll via Anthem's portal. IL controlled substance license required for prescribers. |
| Indiana | Anthem Blue Cross Blue Shield | 146,880 | Open | — | — | Anthem operates as BCBS licensee in Indiana. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial HMO/PPO, Medicare Advantage, and Hoosier Healthwise (Medicaid managed care). IN state license and DEA registration required. |
| Kansas | Anthem (Elevance Health) | 3,319 | Open | — | — | Kansas is not an Anthem BCBS state. Limited Anthem presence. Enroll through Anthem's provider portal for select commercial products. KS license required. |
| Kentucky | Anthem Blue Cross Blue Shield | 85,355 | Open | — | — | Anthem operates as BCBS licensee in Kentucky. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial, Medicare Advantage, and Medicaid managed care. KY license and malpractice verification required. |
| Louisiana | Anthem (Elevance Health) | 3,290 | Open | — | — | Louisiana is not an Anthem BCBS state. Anthem offers select commercial products through Elevance. Enroll via Anthem's portal. LA state license required. |
| Massachusetts | Anthem (Elevance Health) | 194,606 | Open | — | — | Massachusetts is not an Anthem BCBS state. Anthem offers select commercial products through Elevance. MA Board of Registration verification required. Enroll via Anthem's portal. |
| Maryland | Anthem (Elevance Health) | 1,581 | Open | — | — | Maryland is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance. Maryland all-payer rate setting applies. Enroll via Anthem's portal. MD license required. |
| Maine | Anthem Blue Cross Blue Shield | 27,613 | Open | — | — | Anthem operates as BCBS licensee in Maine. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial and Medicare Advantage. ME state license and malpractice verification required. |
| Michigan | Anthem (Elevance Health) | 4,824 | Open | — | — | Michigan is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance. Enroll via Anthem's provider portal. MI license required. |
| Minnesota | Anthem (Elevance Health) | 4,440 | Open | — | — | Minnesota is not an Anthem BCBS state. Limited Anthem presence; commercial products through Elevance. Enroll via Anthem's portal. MN specific disclosures may apply. |
| Missouri | Anthem Blue Cross Blue Shield | 27,058 | Open | — | — | Anthem operates as BCBS licensee in Missouri. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial, Medicare Advantage, and MO HealthNet (Medicaid managed care). MO state license verification required. |
| Mississippi | Anthem (Elevance Health) | 1,252 | Open | — | — | Mississippi is not an Anthem BCBS state. Minimal Anthem presence; select commercial plans. Enroll through Anthem's portal. MS license required. |
| Montana | Anthem (Elevance Health) | 378 | Open | — | — | Montana is not an Anthem BCBS state. Minimal Anthem presence; commercial PPO through Elevance. Enroll via Anthem's portal. MT license required. |
| North Carolina | Anthem (Elevance Health) | 3,354 | Open | — | — | North Carolina is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance. Enroll via Anthem's portal. NC license and malpractice insurance required. |
| North Dakota | Anthem (Elevance Health) | — | Open | — | — | North Dakota is not an Anthem BCBS state. Minimal Anthem presence; commercial PPO. Enroll via Anthem's portal. ND license required. |
| Nebraska | Anthem (Elevance Health) | 34 | Open | — | — | Nebraska is not an Anthem BCBS state. Limited presence; commercial products. Enroll through Anthem's portal. NE license required. |
| New Hampshire | Anthem Blue Cross Blue Shield | 19,913 | Open | — | — | Anthem operates as BCBS licensee in New Hampshire. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial and Medicare Advantage. NH Healthy Families Medicaid through separate contract. NH license required. |
| New Jersey | Anthem (Elevance Health) | 21,028 | Open | — | — | New Jersey is not an Anthem BCBS state. Anthem offers select commercial and Medicare Advantage through Elevance. Enroll via Anthem's portal. NJ-specific disclosure forms may be required. |
| New Mexico | Anthem (Elevance Health) | 827 | Open | — | — | New Mexico is not an Anthem BCBS state. Limited Anthem presence; commercial products. Enroll through Anthem's portal. NM license required. |
| Nevada | Anthem Blue Cross Blue Shield | 8,522 | Open | — | — | Anthem operates as BCBS licensee in Nevada. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial, Medicare Advantage, and Nevada Check Up (children's health). NV state license required. |
| New York | Anthem Blue Cross and Blue Shield | 77,582 | Open | 45–120 days |
Provider portal
800-676-2583
|
Anthem (a brand of Elevance Health) enrolls providers through Availity Essentials: register or log in, select your state, go to Payer Spaces > Anthem > Applications > Provider Enrollment. Submitting generates an Application ID beginning with "PR-" and a status dashboard (Submitted, In process, Ready to See Members). Anthem credentials through CAQH ProView — maintain a complete profile, authorize Anthem to access it, and re-attest every 120 days. The credentialing review takes about 45 days once Anthem receives a complete CAQH file; allow 90–120 days end-to-end through Availity. The Credentials Committee meets at least every 45 days. Recredentialing occurs every 3 years; an expired or incomplete CAQH profile at that point can trigger administrative termination. Non-participating provider services: 800-676-2583. In New York, the former Empire BlueCross BlueShield transitioned to the Anthem Blue Cross and Blue Shield name effective January 1, 2024. |
| Ohio | Anthem Blue Cross Blue Shield | 233,746 | Open | — | — | Anthem operates as BCBS licensee in Ohio. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial HMO/PPO, Medicare Advantage, and Medicaid managed care. OH license and malpractice verification required. |
| Oklahoma | Anthem (Elevance Health) | 194 | Open | — | — | Oklahoma is not an Anthem BCBS state. Limited Anthem presence; commercial products. Enroll through Anthem's portal. OK license required. |
| Oregon | Anthem (Elevance Health) | 2,061 | Open | — | — | Oregon is not an Anthem BCBS state. Anthem offers select commercial products through Elevance. Enroll via Anthem's portal. OR state license required. |
| Pennsylvania | Anthem (Elevance Health) | 18,698 | Open | — | — | Pennsylvania is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance. Enroll via Anthem's provider portal. PA-specific credentialing requirements apply. |
| Rhode Island | Anthem (Elevance Health) | 14,087 | Open | — | — | Rhode Island is not an Anthem BCBS state. Limited Anthem presence. Enroll through Anthem's portal. RI license required. |
| South Carolina | Anthem (Elevance Health) | 4,307 | Open | — | — | South Carolina is not an Anthem BCBS state. Anthem offers select commercial products through Elevance. Enroll via Anthem's portal. SC license required. |
| South Dakota | Anthem (Elevance Health) | 130 | Open | — | — | South Dakota is not an Anthem BCBS state. Minimal Anthem presence; commercial PPO. Enroll via Anthem's portal. SD license required. |
| Tennessee | Anthem (Elevance Health) | 28,948 | Open | — | — | Tennessee is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance (Amerigroup Tennessee for Medicaid). Enroll via Anthem's portal. TN license required. |
| Texas | Anthem (Elevance Health) | 71,330 | Open | — | — | Texas is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage products through Elevance (Amerigroup Texas for Medicaid). Enroll via Anthem's provider portal. TX Medical Board license required. CAQH ProView accepted. |
| Utah | Anthem (Elevance Health) | 1,277 | Open | — | — | Utah is not an Anthem BCBS state. Limited Anthem presence. Enroll through Anthem's portal. UT license required. |
| Virginia | Anthem Blue Cross Blue Shield | 135,629 | Open | — | — | Anthem operates as BCBS licensee in Virginia. Enroll via Availity for credentialing and claims. Anthem BCBS offers commercial HMO/PPO, Medicare Advantage, and Virginia Medicaid managed care (HealthKeepers). VA license verification required. |
| Vermont | Anthem (Elevance Health) | 16,325 | Open | — | — | Vermont is not an Anthem BCBS state. Minimal Anthem presence; commercial PPO. Enroll via Anthem's portal. VT license required. |
| Washington | Anthem (Elevance Health) | 4,505 | Open | — | — | Washington is not an Anthem BCBS state. Anthem offers commercial and Medicare Advantage through Elevance (Amerigroup WA for Medicaid). Enroll via Anthem's portal. WA license required. |
| Wisconsin | Anthem Blue Cross and Blue Shield | 38,038 | Open | 45–120 days |
Provider portal
800-676-2583
|
Anthem (a brand of Elevance Health) enrolls providers through Availity Essentials: register or log in, select your state, go to Payer Spaces > Anthem > Applications > Provider Enrollment. Submitting generates an Application ID beginning with "PR-" and a status dashboard (Submitted, In process, Ready to See Members). Anthem credentials through CAQH ProView — maintain a complete profile, authorize Anthem to access it, and re-attest every 120 days. The credentialing review takes about 45 days once Anthem receives a complete CAQH file; allow 90–120 days end-to-end through Availity. The Credentials Committee meets at least every 45 days. Recredentialing occurs every 3 years; an expired or incomplete CAQH profile at that point can trigger administrative termination. Non-participating provider services: 800-676-2583. |
| West Virginia | Anthem (Elevance Health) | 2,481 | Open | — | — | West Virginia is not an Anthem BCBS state. Limited Anthem presence; commercial products. Enroll via Anthem's portal. WV license required. |
| Wyoming | Anthem (Elevance Health) | 38 | Open | — | — | Wyoming is not an Anthem BCBS state. Minimal Anthem presence; commercial PPO. Enroll via Anthem's portal. WY license required. |
MA member counts: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07), verified July 2026. Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about Anthem / Elevance Health credentialing
How long does Anthem / Elevance Health credentialing take?
Anthem / Elevance Health credentialing typically takes 45–90 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 / Elevance Health require CAQH?
Yes. Anthem / Elevance Health pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Anthem / Elevance Health 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 / Elevance Health operate in?
Anthem / Elevance Health 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.