Managed Care Organization

How to Get Credentialed with Amerigroup (Anthem) in North Carolina

Network: Open
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

North Carolina-Specific Requirements

Amerigroup North Carolina participates in NC Medicaid Managed Care (Medicaid Transformation). Providers must first enroll with NC Medicaid through NCTracks, then apply to Amerigroup via CAQH ProView. Active North Carolina medical license and NPI are required. Service areas are organized by NC DHHS managed care regions across the state. Behavioral health, intellectual/developmental disability, and traumatic brain injury services are managed through Tailored Plans separately.

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 North Carolina.

2

Complete Your CAQH ProView Profile

Amerigroup (Anthem) 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 Amerigroup (Anthem).

4

Track & Follow Up

Credentialing typically takes 60-90 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

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

Contact Information

Credentialing

National

Network Enrollment

National

Quick Links

Need Help?

Let PayerReady handle your Amerigroup (Anthem) enrollment in North Carolina.

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Amerigroup (Anthem) in Other States

District Of Columbia Florida Georgia Iowa Kansas Louisiana Maryland New Jersey New Mexico New York

Other Payers in North Carolina

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of North Carolina NC Medicaid UnitedHealthcare Community Plan
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