Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2022
New digital provider enrollment tool added to Availity
Effective April 27, 2022, Anthem Blue Cross and Blue Shield (Anthem) will add new functionality to Indiana’s provider enrollment tool hosted on the Availity* Portal to further automate and improve your online enrollment experience.
Who can use this new tool?
Professional providers whose organizations do not have a credentialing delegation agreement with Anthem can use this tool.
Note: Providers who submit via roster or have delegated agreements will continue to use the process in place.
How can this new tool be used?
- Add new providers to an already existing group.
- 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.
- Enroll a new group of providers.
- Use a dashboard for real time status on the submitted applications.
- Create streamlined complete data submission.
How the online enrollment application works
The system automatically accesses CAQH® to pull all updated information you’ve already included in your CAQH application. The information automatically populates the details Anthem needs to complete the enrollment process (including credentialing and loading new providers to our database). Please ensure that your provider information on CAQH is updated and is in a complete or re-attested status.
Availity’s online application will guide you through the enrollment process, providing status updates using a dashboard so you know where each provider is in the process without having to call or email for a status update.
Note: For any changes to your practice profile and demographics, continue to use the online Provider Maintenance Form that allows you to electronically submit any changes to your practice profile and demographics to Anthem.
Accessing the provider enrollment application
Log on to the Availity Portal and select Payer Spaces > Anthem Blue Cross and Blue Shield > Applications > Provider Enrollment to begin the enrollment process.
If your organization is not currently registered for the Availity Portal, the person in your organization designated as the Availity administrator should go to availity.com and select Register.
For organizations already using the Availity Portal, your organization's Availity administrator should go to My Account Dashboard from the Availity homepage 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 today and need access to provider enrollment, work with your organization’s administrator to update your Availity role. Go to My Account Dashboard > My Administrators to determine who your administrator is.
Need assistance with registering for the Availity Portal?
Contact Availity Client Services at 800-AVAILITY (800-282-4548).
* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.
PUBLICATIONS: June 2022 Anthem Provider News - Indiana
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