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Information for California

Provider Maintenance

Thank you for being a part of the Anthem network of health care professionals!

Beginning June 1, 2023, 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 (available at no cost to care providers)*:

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

    • The Upload Roster feature is currently only available, and shared with, Anthem.

*California providers also have the option to submit through Symphony file-based data exchange (premium service available to care providers for a fee). Contact the Symphony team here if you are interested in learning more.

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

For NON-PARTICIPATING provider address requests ONLY - Complete each required field in the Template Link for address update requests. Email completed file to nonparmaintenance@anthem.com. Any other items submitted to this email address will be rejected.

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.
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In addition to using a telehealth service, you can receive in-person or virtual care from your own doctor or another healthcare provider in your plan’s network. If you receive care from a doctor or healthcare provider not in your plan’s network, your share of the costs may be higher. You may also receive a bill for any charges not covered by your health plan.
 
® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2022 Anthem Blue Cross. Serving California.
 
Sydney Health is offered through an arrangement with Carelon Digital Platforms, a separate company offering mobile application services on behalf of your health plan. ©2020-2022 The Virtual Primary Care experience is offered through an arrangement with Hydrogen Health.