Tell us: Is your practice open or closed to new patients?

Our members depend on our directories to find in-network providers like you. Out-of-date information risks delays, frustration, and extra costs for our members. Current information leads to the better connection of new patients to the providers who best meet their needs.

Remember, we assume your practice is open and ready for new patients unless you tell us otherwise. In accordance with Timely Access Standards, you should only report being closed to new patients if staying open to them would pose a detriment to the care of new or current patients. If you are not currently accepting new patients, you will not be terminated; however, you must let us know.

We understand that updating your information can be tough when maintaining a busy practice, but it is essential. Anthem Blue Cross (Anthem) is required by state and federal laws to make sure our provider directories are accurate. This includes your availability or practice status. In simple terms, are you open or closed to new patients?

Keeping your Accepting New Patients data current is a requirement per your contract with Anthem. If this critical information is not updated regularly, it can lead to discrepancies and may lead to misunderstandings over your availability for new patients.

Anthem uses the provider data management (PDM) capability available on Availity Essentials (Availity) to update your provider data. Go to Availity today to tell us whether your practice is open or closed to new patients and update other information. Log on to Availity and select My Providers > Provider Data Management to begin using PDM. If you aren’t registered to use Availity, signing up is easy and 100% secure, and there is no cost to register. If you have technical questions call Availity Client Services toll-free at 800-AVAILITY (800-282-4548).

Note: California providers also have the option to submit updates via Symphony’s file-based data exchange (or via their premium service for a fee). Contact the Symphony team here.

To learn more about California timely access regulations and access to care responsibilities:

• Check out the Provider Manual at anthem.com/ca/provider/policies/manuals.
• Visit the California Department of Managed Health Care (DMHC) website or call 888-466-2219 toll-free.
• Visit the California Department of Insurance (CDI) website or call 800-927-4357 toll-free.

Successful healthcare starts with good communication. By keeping us updated, you make sure our Anthem members get the care they need without delays. Thank you for making healthcare better!