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1.  Experience with Anthem credentialing a new practice (but the physician has been in Anthem network)?

This message was posted by a user wishing to remain anonymous
Posted 13 days ago
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This message was posted by a user wishing to remain anonymous

Hi,

The scenario is this:
The physician (me) has been in Anthem network in California, with the payment assigned to a medical group with a couple of physicians.

Now I created my own organization, got my Type 2 NPI and its Federal Tax ID and California Tax ID. (Independently from this topic, this new organization's enrollment has been approved by Medicare).

Anthem Blue Cross told us to send a doc (see attached) to CAPhysicianApp@Anthem.com. We wrote the form and sent to them about 4 weeks ago. They didn't ask us for anything and haven't been added to CAQH roster yet. We tried a few phone calls but didn't find a right person to expedite.

Do you know any person or any way that we can check the status or even expedite the application? Thanks.

Attachment(s)



2.  RE: Experience with Anthem credentialing a new practice (but the physician has been in Anthem network)?

Posted 11 days ago
I would send it again .....
"If you already have a CAQH user ID, please review your profile and confirm that you have granted reading rights to Anthem Blue
Cross. "

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Peter Liepmann MD FAAFP MBA
My mission is to fix US health care www.PCMHpcc.com
Bakersfield CA
5183026006
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3.  RE: Experience with Anthem credentialing a new practice (but the physician has been in Anthem network)?

Posted 10 days ago
Did you try also the network support? You could ask for a phone # or provider rep to go over the contracting and credentialing process.
It's so weird these days that Medicare credentialing and changes are faster than private insurances.
Also that we live in a digital world that allows instantaneous communication but an insurance company can say you are in a 90 day window for credentialing. At least you have e-mail proof of when you started the process.
Forget if you fax it and didn't keep proof of the fax going through; you'd be back to square one because they could say they never received the fax, send it again and the 90 days starts over.

CAContractSupport@anthem.com


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Mamatha Agrawal, MD
Family Doctor CaryNC
Cary, NC
Live in Raleigh, NC
Solo since 2012
Practice Fusion and NueMD
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4.  RE: Experience with Anthem credentialing a new practice (but the physician has been in Anthem network)?

Posted 9 days ago
Call and tell them you need to speak to someone in charge of "contracting" and not "credentialing". I sent my information as requested, with intial delay-since I stated credentialing intially (and was previously credentialed with another practice).


Marie

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Marie Amina Aryan, NP-C
FNP
Lakewood Family Health Clinic
303-578-8191
Lakewood, Colorado
Empathetic Family Healthcare clinic
Lakewood CO
303-981-1902Empathetic Family Healthcare clinicEmpathetic Family Healthcare clinicEmpathetic Family Healthcare clinic
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