Anthem contracted providers are required to update their demographic information when changes occur to their practice / organization, including:

 

  • Change of address/location
  • Name change
  • Tax ID changes
  • Provider leaving a group or a single location
  • Change in phone/fax numbers
  • Closing a practice location
  • Change in status for Accepting New Patients
  • Plus more

 

As a reminder, our Find Care online tool is used by consumers, members, brokers, and providers to identify in-network physicians and other health care providers supporting member health plans.

 

Action Needed:

To help ensure we have the most current and accurate information, please take a moment to access the Find Care tool and review how you and your practice are being displayed.

 

 

Report discrepancies:

Please make any necessary corrections using the Provider Maintenance Form. The Provider Maintenance Form (PMF) is available online at anthem.com. Select Providersunder Provider Resources heading, select Provider Maintenance Form (Note: select Colorado, if you haven’t done so already).  The PMF can be found on the Availity Portal by selecting your state │ Payer Spaces │ Anthem Blue Cross and Blue Shield │Resources │ Provider Maintenance Form.

 

Tips for submitting your updates:

 

  • Address changes:

 

  • You must select both of the following option to make a complete address change:
    • Address -- Add Location to add a NEW address, and
    • Address -- Terminate to remove an OLD
  • Note: Please ensure you are submitting this for all address types; e.g. physical, billing, correspondence addresses, etc.



 

  • Termination changes:

    • Provider Leaving a Group:
      • Use this option to select when it is 1 provider leaving a group.
    • Termination of Provider Participation Agreement:

Use this option when the entire Tax ID is terming




  • Roster or List updates:

    • When making changes for organizations, utilize the Roster or List updates when:
      • your organization is delegated credentialing, or
      • Making 5 or more demographic changes to your organization
    • Note: Access this option by selecting Organization, then select Roster of List Updates




 

“Working with Anthem” webinar -- August

Don’t forget we are also hosting our “Working with Anthem” webinar and this month’s topic will help Quick Tips for adding, changing, terming a provider using the Provider Maintenance Form. Anthem contracted providers are required to update their demographic information when changes occur to their practice / organization using our online Provider Maintenance Form (PMF).

Learn how to utilize the online PMF to submit changes such as the following:

  • Change of address/location
  • Name change
  • Tax ID changes
  • Provider leaving a group or a single location
  • Change in phone/fax numbers
  • Closing a practice location
  • Change in status for Accepting New Patients
  • Plus more!

 

Check out our registration link to register today!

 

 

562-0820-PN-CO



Featured In:
August 2020 Anthem Provider News and Important Updates -- Colorado
August Working with Anthem webinar: Quick Tips for using the Provider Maintenance Form - Colorado