CommercialMedicare AdvantageNovember 1, 2024
Roster Automation updates: roster download functionality
At a glance:
- Care providers can request and download a full roster for an organization and TIN.
- To request a roster, care providers must go to Payer Spaces in Availity Essentials as detailed below. This functionality is not on the Upload Roster File screen, which is where care providers upload rosters for processing.
- After downloading the roster, care providers can use it to easily edit demographic information.
My Roster: request and download a copy of your current roster
Care providers can now download a copy of their full roster in Availity Essentials. This enhancement allows care providers to view and verify the demographic information we maintain and currently have loaded in our system.
To request a roster, go to Availity.com > Payer Spaces > Select Payer Tile > Provider Enrollment and Network Management > Request Current Roster.
Care providers will be prompted to select the organization name and TIN they would like included in the roster. Multiple TINs can be included in one request.
Download requested roster
The roster available for download from Payer Spaces in Availity Essentials will contain a few more columns than the standard template. The additional columns have drop-down menus that enable care providers to indicate what data needs to be updated and how (for example, updates or terminations).*
Care providers can edit the downloaded roster and upload the updated version via Availity’s Upload Roster File screen to easily make changes to their data. Because the download is correctly formatted, it should enable automatic processing.
* Care providers should continue to use the Provider Enrollment application in Availity Essentials to submit requests to add new practitioners under existing groups that require credentialing.
As a reminder, care providers are responsible for the accuracy of the data they submit as well as submitting updates timely. If updates are not submitted timely and result in claim denials or rejections, those denials will stand.
Contact us
Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to Availity.com and select the appropriate payer space tile from the drop-down. Then, select Chat with Payer and complete the pre-chat form to start your chat.
For additional support, visit the Contact Us section of our provider website for the appropriate contact.
In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
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PUBLICATIONS: December 2024 Provider Newsletter
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