Credentialing by payer
Join the Anthem Blue Cross and Blue Shield Network
- Flat PricesNo percentage of collections
- Half Now, Half at SubmissionFor every enrollment application
- Closed Network?Your choice of a refund or a credit
- Live Status TrackingCheck any application by reference number
Anthem Blue Cross and Blue Shield at a Glance
| Parent company | Elevance Health |
|---|---|
| Service area | Blue licensee in California (Blue Cross only), Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (except 30 Kansas City area counties), Nevada, New Hampshire, New York (New York City metro and upstate), Ohio, Virginia (except the Northern Virginia suburbs of Washington, DC) and Wisconsin. |
| How to request to join | The join page on Anthem's provider site for your state. In California it is the Enroll now link; for Virginia Medicaid the Provider Enrollment application sits under Payer Spaces in Availity. Start here |
| Portal | Availity (Anthem Payer Space) |
| CAQH ProView (DataSpring) | Yes. Anthem credentials from CAQH ProView (DataSpring): register, authorize Anthem, and complete the profile. |
| Behavioral health | Carelon Behavioral Health, an Elevance Health brand. New enrollments go through the Carelon Behavioral Health Payer Space in Availity, and Carelon recredentials every three years. In New York, Anthem's behavioral health network was merged into Carelon's. |
| Published turnaround | Typically 45 days from the time the credentialing department receives a completed CAQH application. |
| Recredentialing | Every three years. Missing the recredentialing due date leads to administrative termination. |
| Lines of business | Commercial in each Blue state; Medicaid in several, such as HealthKeepers Plus in Virginia, which requires DMAS enrollment through PRSS first. |
How Anthem Blue Cross and Blue Shield Takes Applications
Anthem is one company but fourteen state networks, so the request goes through the provider site for the state where you practice, and each state is its own contract. Credentialing everywhere runs off the CAQH (DataSpring) profile, and Anthem's 45-day clock starts only when the profile is complete and authorized.
What to Watch With Anthem Blue Cross and Blue Shield
Watch the borders. In California Anthem holds only the Blue Cross license. The Kansas City area of Missouri and Northern Virginia belong to other Blue plans (CareFirst covers Arlington and eastern Fairfax and Prince William counties). Outside its Blue states, Elevance serves members under other names, including Wellpoint.
Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.
Questions About Anthem Blue Cross and Blue Shield
How do I apply to Anthem Blue Cross and Blue Shield?
The join page on Anthem's provider site for your state. In California it is the Enroll now link; for Virginia Medicaid the Provider Enrollment application sits under Payer Spaces in Availity.
How long does Anthem Blue Cross and Blue Shield credentialing take?
Typically 45 days from the time the credentialing department receives a completed CAQH application. Recredentialing: Every three years. Missing the recredentialing due date leads to administrative termination.
Does Anthem Blue Cross and Blue Shield use CAQH (DataSpring)?
Yes. Anthem credentials from CAQH ProView (DataSpring): register, authorize Anthem, and complete the profile.
How do therapists join Anthem Blue Cross and Blue Shield?
Carelon Behavioral Health, an Elevance Health brand. New enrollments go through the Carelon Behavioral Health Payer Space in Availity, and Carelon recredentials every three years. In New York, Anthem's behavioral health network was merged into Carelon's.
What does PECS charge for an Anthem Blue Cross and Blue Shield application?
$200 per application per provider, half at engagement and half at submission, including follow-up with Anthem Blue Cross and Blue Shield until the effective date is set.
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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources
- Anthem California: Join our network
- Anthem Virginia: Join our network
- Elevance Health Form 10-Q, Q1 2026
- Carelon Behavioral Health: Join our network
- Anthem provider news: Empire behavioral health agreements assigned to Carelon
Facts checked against the sources above in October 2026; plan procedures change.