Blue Cross Blue Shield

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

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

Missouri-Specific Requirements

Statewide MO except KC metro.

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 Blue Cross and Blue Shield of Missouri 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 Missouri.

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
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