Education & TrainingCommercialHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingDecember 1, 2023

Practitioners’ rights during credentialing process

This communication applies to the Commercial and Medicaid programs from Anthem Blue Cross and Blue Shield (Anthem) in Indiana.

As part of our credentialing process, practitioners have certain rights as briefly outlined below.

Practitioners can request to:

  • Review information submitted to support their credentialing application.
  • Correct erroneous information regarding a credentialing application.
  • Be notified of the status of credentialing or recredentialing applications.

We encourage practitioners to begin the credentialing process by going to Availity.com as soon as possible when new physicians join a practice. Doing so will help minimize any disruptions to the practice and members’ claims.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

INBCBS-CDCM-035734-23-CPN33992

PUBLICATIONS: December 2023 Provider Newsletter