How to Get Credentialed with Anthem / Elevance Health in West Virginia
Anthem / Elevance Health in West Virginia: by the numbers
Verified figures for this state, not national averages.
- Counties containing at least one member
- 25
- Distinct plans
- 4
- Counties with a plan offered
- 43
- Medicare Advantage service area
- offers Medicare Advantage plans in 43 of the 55 counties in this state that have any MA plan
- Largest counties by enrollment
- Hancock (1,107), Brooke (563), Wayne (137), Kanawha (96), Wood (92)
- Medicare Advantage members in state
- 2,481
Source: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07) · CMS Medicare Advantage Plan Landscape (CY2026) · Verified July 2026
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
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.
West Virginia-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 West Virginia.
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 West Virginia.
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
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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
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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.