Provider Maintenance
Thank you for being a part of the Anthem network of health care professionals!
Providers contracted with Anthem Blue Cross and Blue Shield (Anthem) should utilize Availity’s Provider Demographic Management (PDM) application hosted on www.availity.com to request changes to existing practice information.
Request data updates via either one of the following options within Availity Essentials PDM:
- Multi-payer platform option: Allows providers to make updates once and have that information sent to all participating health plans, submitting each change separately.
- Upload Roster option: Allows providers to submit multiple updates within one spreadsheet via the Upload Rosters feature:
Roster Automation is a new system upgrade that will read a standardized form, identify necessary changes, and update the demographic system.
Roster Automation Rules of Engagement
Roster Automation Standard Template
If you are an existing contracted group and wish to add a provider, or if you are a non-contracted provider and would like to join Anthem’s network:
Non-Participating / Single Case Agreement Provider Registration & Updates.
To register or update existing information, please download and complete the NonPar Update Form. A detailed Instructions tab is included within the form to guide you through the process.
Please note: This process will transition to Availity Essentials. Please refer to New Availity Essentials features for out-of-network providers for instructions and more information. After selecting your state, choose the Digital Solutions option from the Categories drop down menu to find the article named above. You can also look for the name of the article by using the search function in the upper right side of the screen.
Ready to become a provider in the Anthem network?
We look forward to working with you to provide quality service for our members.
Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place.