Anthem Blue Cross and Blue Shield of Ohio
Credentialing and enrollment guides for Anthem Blue Cross and Blue Shield of Ohio across 1 states.
Quick Overview
Timeline
45 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
1
How Anthem Blue Cross and Blue Shield of Ohio 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.
About Anthem Blue Cross and Blue Shield of Ohio
Anthem Blue Cross and Blue Shield of Ohio is a Blue Cross Blue Shield licensed plan serving members in Ohio. They offer commercial, Medicare Supplement, and individual marketplace health plans with provider credentialing for physicians, specialists, and allied health professionals.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Anthem Blue Cross and Blue Shield of Ohio requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Anthem Blue Cross and Blue Shield of Ohio. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Anthem Blue Cross and Blue Shield of Ohio?
Our specialists handle the entire Anthem Blue Cross and Blue Shield of Ohio enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Credentialing
888-599-1771
Mon-Fri 8am-5pm
Provider Services
888-599-1771
Claims & Billing
888-599-1771
Need Help?
Let PayerReady handle your Anthem Blue Cross and Blue Shield of Ohio credentialing and enrollment.
Get Started NowAvailable 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.
Select Your State
Choose your state for Anthem Blue Cross and Blue Shield of Ohio-specific credentialing details including timelines, contacts, and local requirements.
Anthem Blue Cross and Blue Shield of Ohio credentialing requirements by state
Anthem Blue Cross and Blue Shield of Ohio enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Anthem Blue Cross and Blue Shield of Ohio operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Ohio | Open | 45–60 days |
Provider portal
888-599-1771
|
Multiple BCBS licensees operate in Ohio: Anthem Blue Cross and Blue Shield of Ohio (Elevance Health subsidiary) and Medical Mutual of Ohio. Providers may need to enroll with each separately. Anthem Ohio uses CAQH ProView with standard Anthem credentialing process. Medical Mutual also uses CAQH ProView. Typical processing timeline: 45-60 days for Anthem; 60-90 days for Medical Mutual. Requires active Ohio medical license from the State Medical Board of Ohio. DEA registration and Ohio Terminal Distributor of Dangerous Drugs (TDDD) license required if dispensing. Board certification required for specialists. Delegated credentialing available through larger health systems and medical groups. Re-credentialing every 3 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Anthem Blue Cross and Blue Shield of Ohio credentialing
How long does Anthem Blue Cross and Blue Shield of Ohio credentialing take?
Anthem Blue Cross and Blue Shield of Ohio credentialing typically takes 45–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Anthem Blue Cross and Blue Shield of Ohio require CAQH?
Yes. Anthem Blue Cross and Blue Shield of Ohio pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Anthem Blue Cross and Blue Shield of Ohio before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Anthem Blue Cross and Blue Shield of Ohio operate in?
Anthem Blue Cross and Blue Shield of Ohio has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.