CommercialMedicare AdvantageSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity Essentials
On September 23, 2024, Anthem will add new specialties to the Provider Enrollment tool hosted on Availity Essentials to further automate and improve your online enrollment experience.
Who can use this new tool?
- Therapy providers (physical therapist, occupational therapist, and speech therapist)
- Audiologists and hearing aid fitters
- Registered dieticians (Independent providers should enroll through American Specialty Health (ASH) at ashcompanies.com/Contact or 800-972-4226)
- Acupuncturists
What does the tool provide?
- Enroll as an individual provider.
- Enroll a new group of providers.
- Apply and request a contract. After review, a contract can be sent back to you digitally for an electronic signature. This eliminates the need for paper applications or paper contracts.
- Use a dashboard for real time status on the submitted applications.
- Experience streamlined complete data submission.
Reviewing how the online enrollment application works
Availity’s online application will guide you throughout the enrollment process and provide status updates using a dashboard. As a result, you will know where each provider is in the application process without having to call or email for a status update.
Please note: For any changes to your practice profile, adding or deleting practitioners, and updating demographics, use the Provider Data Management (PDM) application on Availity Essentials that allows you to electronically submit any changes to your practice profile and demographics. Availity administrators and assistant administrators can access PDM by going to Availity > My Providers > Provider Data Management.
Accessing the Provider Enrollment application
Log on to Availity Essentials and select Payer Spaces > Anthem > Applications > Provider Enrollment to begin the enrollment process.
If your organization is not currently registered for Availity Essentials, the person in your organization designated as the Availity administrator should go to Availity.com and select Register.
For organizations already using Availity Essentials, your organization's Availity administrator should go to My Account Dashboard from the Availity home page to register new users and update or unlock accounts for existing users. Staff who need access to the Provider Enrollment tool need to be granted the role of Provider Enrollment. Availity administrators and user administrators will automatically be granted access to Provider Enrollment.
If you are using Availity Essentials today and need access to Provider Enrollment, please work with your organization’s administrator to update your Availity Essentials role. To determine who your administrator is, you can go to My Account Dashboard > My Administrators.
Need assistance with registering for Availity Essentials?
Contact Availity Client Services at 800-282-4548.
Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
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PUBLICATIONS: October 2024 Provider Newsletter
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