For provider enrollment, please use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

This communication applies to all networks and programs from Anthem Blue Cross and Blue Shield (Anthem) in Indiana.

 

In April 2022, Anthem added new functionality for provider enrollment, the Digital Provider Enrollment (DPE) tool, hosted on Availity* to further automate and improve your online enrollment experience. 

 

Effective December 1, 2022, we are no longer accepting the Provider Maintenance Form for enrolling newly contracted providers and adding providers to existing groups. Providers should use the Digital Provider Enrollment (DPE) tool for these functions.

 

Note that demographic changes and terminations should continue to be submitted using the Provider Maintenance Form at this link:

https://central.provider.anthem.com/mwpmf/entpmf/landingpage?brand=inabcbs

 

Who can use this new tool?

The Digital Provider Enrollment (DPE) tool is currently available for professional practitioners. 

 

What features does the tool provide?

• Apply to add new practitioners to an already existing group
• Apply and request a contract to enroll a new group of practitioners
• Monitor submitted applications statuses real-time with a digital dashboard

 

How the online enrollment application works

The system pulls in all your professional and practice details from Council for Affordable Quality Healthcare (CAQH) ProView to populate the information Anthem needs to complete the enrollment process — including credentialing, claims, and directory administration. Please ensure your provider information on CAQH is updated and in complete or re-attested status.

 

The online enrollment application will guide you through the process, and a dashboard will display real-time application statuses. You’ll know where each provider is in the process without having to call or email for a status. 

 

Accessing the provider enrollment application

Log onto availity.com and select Payer Spaces > Anthem > Applications > Provider Enrollment to begin the enrollment process.

 

Before you begin

If your organization is not currently registered for Availity, the person in your organization designated as the Availity administrator should go to availity.com and select Register.

 

For organizations already using Availity, your administrator(s) will automatically be granted access to the provider enrollment tool.

 

Staff using the provider enrollment tool need to be granted the user role Provider Enrollment by an administrator. To find yours, go to My Account Dashboard > My Account > Organization(s) > Administrator Information.

 

Need assistance with registering for Availity?

Log onto availity.com/Contact-Us.

 

If you have any questions, please contact your Provider Experience Consultant.

 

* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.

 

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