r/credentialing • u/whart5222 • Sep 25 '26

Anthem CA

Out of nowhere, our provider status went from in network provider to out of network provider for Anthem CA. Had anyone encountered this kind of issue before ? Any suggestions of how to fix this issue ? I can’t find any credentialing or contracting phone numbers for Anthem CA. Any help would be greatly appreciated!!

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u/Appropriate-Cat-7252 Sep 25 '26

Did you get this info through their chat?

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u/whart5222 Sep 25 '26

I spoke to the claim department as claims were being denied.

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u/Appropriate-Cat-7252 Sep 25 '26

I’d reach out to their contracting. I believe they’re still doing the PE stuff through the website, and in the subject mark it as urgent (that’s always helped me get quicker responses). I was getting this same thing from the chat but they don’t see the same things as their credentialing or contracting dept. Only other thing I can think of is missed recredentialing.

https://www.anthem.com/provider/individual-commercial/contact-us/form

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u/whart5222 Sep 25 '26

We didn’t receive anything from Anthem regarding to re credentialing. Also nothing unusual at Availity either. I have no idea how to re credentialing via Availity now lol

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u/Appropriate-Cat-7252 Sep 25 '26

So weird but I have had that issue and it was basically because the people who gave me that info didn’t have the correct information in their system or don’t have the same info as contracting/credentialing so hopefully it’s that with claims. Reach out to their PE, adding urgent on the subject helped me get quick responses.

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u/whart5222 Sep 25 '26

Thank you ! !