Education & TrainingCommercialBadgerCare Plus and Medicaid SSI ProgramsNovember 1, 2023

Practitioners’ rights during credentialing process

This communication applies to Commercial and Medicaid plans from Anthem Blue Cross and Blue Shield (Anthem) in Wisconsin.

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.

WIBCBS-CDCM-035745-23-CPN33992

PUBLICATIONS: November 2023 Provider Newsletter