Education & TrainingCommercialMedicaidOctober 31, 2023

Practitioners’ rights during credentialing process

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

This communication applies to Commercial and Medicaid plans from Empire.

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.

NYBCBS-CDCM-035741-23-CPN33992

PUBLICATIONS: November 2023 Provider Newsletter