May 13, 2013
Anthem Blue Cross recently conducted an audit that identified 1,563 participating physicians who are not credentialed with the payor. As a condition of participation, Anthem requires physician to be approved by its credentialing department or practicing under a delegated medical group. If a physician leaves a delegated medical group, they must contract through Anthem to continue to be part of their network.
Blue Cross sent notice to the 1,563 affected physicians, at multiple mailing addresses Anthem had on file for each physician, of the deficiency and advised them that they needed to complete the credentialing process through Council for Affordable Healthcare (CAQH) within 30 days or be terminated from the network.
Physicians who believe they received one of the above letters in error or have general questions about the letter can contact Blue Cross Network Relations at (855) 238-0095.