Use the Provider Maintenance Form for professional providers to verify and update your information

Category: Medicaid

 

Maintaining accurate provider information is critically important to ensure that our members have timely and accurate access to care. Additionally, Anthem Blue Cross and Blue Shield is required by Centers for Medicare & Medicaid Services (CMS) to include accurate information in provider directories for certain key provider data elements. To remain compliant with federal and state requirements, changes must be communicated within 30 days in advance of a change or as soon as possible.

 

Key data elements include physician name, address, phone number, accepting new patient status, hospital affiliations and medical group affiliations.

 

Please notify us by completing the Provider Maintenance Form for Professional Providers available at www.anthem.com/inmedicaiddoc.Thank you for your help and continued efforts in keeping our records up to date.