Mantenimiento de proveedores

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 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.

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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.

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