How to Get Credentialed with Anthem / Elevance Health in Maryland
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Maryland-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Maryland.
Complete Your CAQH ProView Profile
Anthem / Elevance Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Anthem / Elevance Health. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application status 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 in Maryland.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
VOIDED_CHECK
Voided check for EFT bank verification
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
Free Tools for Your Anthem / Elevance Health Enrollment
Related Articles
How to Get Credentialed with Blue Cross Blue Shield: A State-by-State Processing Timeline and Application Guide
Blue Cross is 34 separate companies with different rules. State-by-state timelines (45-120+ days), portals, open vs clos...
How Long Does Payer Enrollment Take? Processing Timelines by Insurance Company
Medicare: 45-65 days. UHC: 60-90. Aetna: 45-90. Cigna: 60-120. Humana: 60-90. Full timeline comparison for 15+ insurers...
Insurance Credentialing for Therapists and Mental Health Providers: How to Get Paneled, Get Paid, and Grow Your Practice
How therapists get credentialed (LPC, LCSW, LMFT, PsyD). Which payers accept each license type, CAQH setup, timelines, a...
Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to Anthem / Elevance Health.
View Physician Credentialing Checklist →Contact Information
Credentialing Status
National1-888-599-1771
Claims Inquiry
National1-800-676-2583
EDI via Availity
National1-800-282-4548
Provider Relations
National1-800-676-2583
ERA/EFT Enrollment
National1-800-282-4548
Need Help?
Let PayerReady handle your Anthem / Elevance Health enrollment in Maryland.
Get Started NowAnthem / Elevance Health in Other States
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.