CommercialNovember 15, 2022
For provider enrollment, use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form
Effective November 28, 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 of enrolling new providers to an existing group and new contracts.
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=kyabcbs
Accessing the provider enrollment application
Log onto availity.com and select Payer Spaces > Anthem > Applications > Provider Enrollment to begin the enrollment process.
Need assistance with registering for Availity?
Log onto availity.com/Contact-Us.
If you have any questions, please contact your Provider Experience Consultant or access our mailbox:
- East.Team-KyProviderEngagement&Contracting@anthem.com OR
- West.Team-KyProviderEngagement&Contracting@anthem.com
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