Provider maintenance and demographic updates

Care providers contracted with Anthem should use Availity Essentials Provider Demographic Management (PDM) application to request changes to existing practice information.

Availity Essentials Provider Demographic Management (PDM)

 

Request data updates by either of the following options within Availity Essentials PDM:

  • Multi-payer platform option: Allows care providers to make updates once and have that information sent to all participating health plans, submitting each change separately
  • Upload Roster option: Allows care providers to submit multiple updates within one spreadsheet via the Upload Rosters feature

Roster Automation

 

Roster Automation is a new system upgrade that will read a standardized form, identify necessary changes, and update the demographic system.

 

Demographic Data Maintenance 101 -- PDF coming

 

 Roster Automation Rules of Engagement

 

 

Roster Automation Standard Template

 

To access the Roster Automation Standard Template, log in to Availity Essentials, select Help & Training and download the template.

 

 

Access current demographic data

 

Care providers can request and download a full roster for an organization and TIN in Availity Essentials. To request a roster:

 

1. Log in to Availity Essentials.

 

2. Go to Payer Spaces > Select Payer Tile > Provider Enrollment and Network Management > Request Current Roster. Care providers will be prompted to select the organization name and TIN(s) they would like included in the roster download.

 

Roster download allows care providers to access and verify the demographic information we maintain and currently have loaded in our system, including addresses, linked providers, effective dates, and more.

 

Care providers should allow up to four hours for a requested roster to appear in the Download Requested Roster section. Only one roster can be requested per day; however, multiple TINs can be selected in one request.

Availity Essentials registration

 

If your organization is not currently registered with Availity Essentials, the person(s) designated as your administrator(s) should register to obtain an account. You may also navigate directly to Availity Essentials' registration website by selecting the link labeled 'Availity Essentials registration'.

 

Availity Essentials registration 

Interested in becoming a care provider in the Anthem network or expanding services?

 

We look forward to working with you to provide quality service for our members.

 

Join our network 

 

 

Care providers wishing to add new providers to their existing group should follow the link to join our network.

 

Our existing care providers who would like to contract for an additional line of business or network should submit their request in the Provider Enrollment and Network Management application:

 

1. Log in to Availity Essentials.

 

2. Go to Payer Spaces > Select Payer Tile > Provider Enrollment and Network Management > Begin a Contract Change.

Page last updated 10/17/2025