Blue Cross Blue Shield

How to Get Credentialed with Anthem Blue Cross and Blue Shield of Colorado in Colorado

Network: Open
45-60 Days CAQH Required Delegated Credentialing

Quick Overview

Timeline

45 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

Yes

Colorado-Specific Requirements

Anthem Blue Cross and Blue Shield of Colorado (Elevance Health subsidiary). Uses CAQH ProView for credentialing. Standard Anthem credentialing process. Typical processing timeline: 45-60 days. Requires active Colorado medical license from the Colorado Medical Board. DEA registration required. Board certification required for specialists. Delegated credentialing is available through larger group practices and health systems. Colorado has specific telehealth parity laws that may affect credentialing requirements for telehealth-only providers. Re-credentialing every 3 years.

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 Colorado.

2

Complete Your CAQH ProView Profile

Anthem Blue Cross and Blue Shield of Colorado 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 Blue Cross and Blue Shield of Colorado.

4

Track & Follow Up

Credentialing typically takes 45-60 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

Enrollment Forms

CAQH ProView

Universal credentialing application used by most commercial and BCBS payers.

Required
Online Open →

Contact Information

Credentialing

National

888-599-1771

Quick Links

Anthem Blue Cross and Blue Shield of Colorado Website Provider Portal

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Other Payers in Colorado

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Health First Colorado TRICARE
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