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Anthem Blue Cross and Blue Shield has streamlined the process of becoming credentialed to become a plan provider in Ohio. Credentialing employed to be a cumbersome method because insurance companies and infirmary applied various formats plus asked for several kinds regarding supporting documents.

Anthem now participates in the Universal Supplier Datasource, which allows a provider to fill away a solitary application with data that can be viewed via all the organizations the provider wants to join. This cuts lower on time plus hassle for the surgeon and remains any effective cost-cutting concept for the organizations.

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Trouble: Moderate

Things You'll Need

Liability insurance with a coverage minimum of $1 million per claim and $3 million total Hospital visiting rights at an Anthem-participating hospital Unrestricted Ohio medical license Board certification or suitability Completed up-to-date CAQH application Anthem Physician Data Sheet Type IRS form W-9 Fax Machine

Advocate Edits

1 Verify that you have given Anthem permission to access your CAQH (Council for Affordable Quality Healthcare) application. If Anthem does never possess permission to access your CAQH Common Supplier Datasource, contact CAQH via its web site or call 888-599-1771. The add Anthem as an group with authorization to access the data.

2 Download parts 1 plus 2 regarding Anthem's Physician's Information Sheet Form plus an IRS form W-9. Either forms can be downloaded immediately out of the Anthem Blue Cross Blue Shield's website area on "Medical Professional Providers."

3 Faxing the needed forms to Anthem begins the supplier application process. fax image by Attila Toro from web site

Finished both parts of the Physician Data Sheet and IRS type W-9. Fax the finished types to Anthem's provider contracting department at 303-831-5833.

4 Delay awake to 90 days for application processing, according to Anthem. You may check your application status by calling Anthem Blue Cross and Blue Shield's credentialing department in 800-516-7587.

Make guaranteed your paperwork remains complete, signed and dated or you will face processing delays.

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References website: Supplier application instructions website: Universal Provider Datasource

fax image from Attila Toro from website