Commercial

How to Get Credentialed with Anthem / Elevance Health in Missouri

Network: Open
45-90 Days CAQH Required Delegated Credentialing

Quick Overview

Timeline

45 - 90 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

Yes

Missouri-Specific Requirements

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.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Missouri.

2

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.

3

Submit Your Application

Submit your completed enrollment package to Anthem / Elevance Health. You can start the process at their enrollment portal.

4

Track & Follow Up

Credentialing typically takes 45-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum; gaps > 6 months must be explained

DEA License

Conditional

Required 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

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
Online Open →

Availity Enrollment Application

Required
Online Open →

Contact Information

Credentialing Status

National

1-888-599-1771

Claims Inquiry

National

1-800-676-2583

EDI via Availity

National

1-800-282-4548

Provider Relations

National

1-800-676-2583

ERA/EFT Enrollment

National

Need Help?

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