As you know, in April, Anthem replaced its legacy internal data management system for Georgia providers. This new investment in advanced technology will significantly improve provider data accuracy and transparency, enhancing the overall provider experience. New system features strengthen Anthem’s ability to match submitted claims for more accurate pricing and processing.

Next steps: new provider data maintenance coming soon.

Beginning in June, the second phase of our improvement, integration with Availity Portal Provider Data Management (PDM) functionality, will roll out in phases. Through this tool, providers can view, maintain, update, and attest provider demographic information is accurate for Anthem (and other health plans) in one easy-to-use portal. The PDM also features our simplified quick verification process, which enables providers to complete the required verifications online – eliminating the need to fax or email.

Get ready for the change today.

If your organization is not already registered on Availity Portal, we strongly encourage you to get started right away. Your organization’s designated administrator can go to Availity.com to register and to find other helpful information about using Availity. Availity is Anthem’s secure provider portal where you can enjoy the convenience of digital transactions including prior authorization submission, claims submission and benefit and eligibility look-up.

Critical billing requirements

Claims submitted without a billing national provider identifier (NPI) will be denied. Submitting claims with complete and correct data is critical to ensure Anthem is able to process your claims efficiently and accurately. All data fields on claims are used when building your claim record. Review your billing practices carefully to ensure provider tax identification number (TIN), billing national provider identifier (NPI) and servicing provider information (if applicable) are submitted in the appropriate fields.


1143-0521-PN-GA



Featured In:
May 2021 Anthem Provider News - Georgia