Payer enrollment · Anthem

What does it take to get credentialed with Anthem?

Anthem runs credentialing through CAQH ProView rather than a separate paper form. Anthem's own provider pages state that credentialing typically takes 45 days from the time its credentialing department receives a completed CAQH application, and recredentialing follows every three years. Missing a recredentialing deadline results in administrative termination from the network, not just a delay.

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Anthem's own provider pages, consistent across the Wisconsin, Virginia and California state sites checked for this guide, state that the credentialing process typically takes 45 days from the time Anthem's credentialing department receives a completed CAQH application. There is no separate Anthem-specific application for most providers; the CAQH ProView profile is the primary data source Anthem's credentialing team reviews.

State pages add detail beyond the base CAQH profile: California's page lists a signature and application date, current CAQH status, a current license in each state of practice, education and training for the specialty, hospital privileges, DEA or CDS certificates, explanations for any application questions, five years of work history, and current professional liability insurance, plus a possible site review within 30 days of Anthem's request. Recredentialing runs every three years; if the CAQH profile is current and complete at that point, no further action is typically required, but an expired or incomplete profile at the deadline results in administrative termination from the network.

45 days
Anthem's own target from a completed CAQH application
3 years
Recredentialing cycle, per Anthem's own provider pages
5 years
Work history required on California's provider page
CAQH-based
Anthem's primary application source, state pages add detail

How long does Anthem credentialing take?

Anthem's own provider pages state that credentialing typically takes 45 days from the time its credentialing department receives a completed CAQH application. This figure repeats identically across the Wisconsin, Virginia and California state provider pages checked for this guide, so it is treated as an Anthem-wide figure rather than a single state's own number.

A third-party consultant guide cites a wider 90-to-120-day end-to-end range for Anthem, but that figure could not be traced to an Anthem-published page, so it is not used here. Treat anything well beyond the 45-day window as a sign your CAQH profile is not yet complete rather than Anthem's stated timeline.

What does Anthem require beyond a CAQH profile?

A signature and application date, current CAQH status, a current license in each state of practice, specialty education and training, hospital privileges, a DEA or CDS certificate, and five years of work history with current professional liability insurance, per Anthem's California provider page. A site review may be required within 30 days of Anthem's request where applicable.

RequirementDetail
CAQH ProView profileComplete, attested, and accessible to Anthem
State licenseCurrent, in each state where you will practice
Education and trainingMatching your specialty, on file in CAQH
Hospital privilegesWhere applicable to your specialty
DEA or CDS certificateCurrent, where you prescribe controlled substances
Work historyFive years, with explanations for any gaps or application questions
Professional liability insuranceCurrent coverage on file
Site reviewMay be required within 30 days of Anthem's request, if applicable

Missing a recredentialing deadline is treated as administrative termination, not a grace period. Anthem's own pages state that an incomplete or expired CAQH application at the recredentialing deadline results in administrative termination from the network, the same outcome as never applying, rather than a short extension.

How do I actually submit an Anthem application?

  1. Set up or update your CAQH ProView profile

    Register at proview.caqh.org if you do not have a profile, or grant Anthem access if you do. Anthem's CAQH provider help line and a New Provider Quick Reference Guide are available if you need help.

  2. Complete the state-specific requirements

    Add license, education, hospital privileges, DEA or CDS, work history and liability insurance documentation; requirements vary by state, so check your state's own Anthem provider page.

  3. Anthem's 45-day review

    The credentialing department's target is 45 days from a completed CAQH application, with a possible site review within 30 days of a request where applicable.

  4. Recredentialing every three years

    Keep CAQH current and complete through the three-year cycle; Anthem will contact you if it finds the profile expired or missing information.

Trust the 45-day figure, not the aggregator range

Anthem's own pages repeat 45 days across multiple states; wider third-party ranges were not traceable to an Anthem source.

Check your own state's page

Base requirements come from CAQH, but Anthem's state pages add detail, like California's 5-year work history rule, that may not apply everywhere.

Treat recredentialing as a hard deadline

An expired CAQH profile at the three-year mark results in administrative termination, not a delay.

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Juney Ham
Founder and CEO, Telesure

Juney Ham is the founder and CEO of Telesure, the marketplace that matches clinicians with independent licensing and credentialing specialists. Previously co-founder of Upside and CMO at Hired. Every regulatory figure on this page is taken from the issuing state board, compact commission or CMS and was verified on 13 October 2026. Fees and compact status change; confirm with the relevant board before relying on them.

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Sources: Anthem, Wisconsin provider credentialing · Anthem, Virginia join our network · Anthem, California provider credentialing · CAQH ProView FAQs