Keeping your provider directory information current: inactive providers

We have previously asked you to review your online provider directory information to help ensure Anthem members can locate the most current information for in-network providers and facilities.

In support of this effort, we are identifying providers who have not submitted any claims within the last 12 months. The inactive providers are likely not treating Anthem members. To that end, the following actions will be taking place over the next month and will be repeated, at least twice a year, going forward.

Active group agreement with individual providers identified as inactive:

• If the group has additional active providers, just the individual providers identified as inactive will be terminated.
• If the group does not have any additional active providers, and Anthem has not received claims from this provider within 12 months, the provider and associated group will be terminated.

Active group agreement with no remaining individual providers identified:

• If the group does not have any additional active providers, and Anthem has received claims from this group within 12 months, a termination letter will be mailed in accordance with the terms of the active group agreement.

To submit updates to your provider data, please use Availity Essentials PDM. Availity Essentials PDM has replaced all previous intake channels for demographic change requests and roster submissions as of January 1, 2024.

What if I need assistance?

Contact your provider relationship management representative or refer to the Contact Us section at the bottom of our provider website (https://providers.anthem.com/nv) for up-to-date contact information.