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:

 

Begin Application 

 

Non-Participating / Single Case Agreement Provider Registration & Updates. To register or update existing information, please download and complete the NonPar SCA Update Form. A detailed Instructions tab is included within the form to guide you through the process. For assistance with the form or general inquiries, please refer to the Need Assistance section within the Instructions on the form.

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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.

Begin Application