MedicaidOctober 8, 2024
PCP changes now available in Availity Essentials
At a glance:
- PCP changes available via Availity Essentials beginning October 19, 2024
- Eligibility checks included with printable confirmation
- New ID cards sent automatically post-PCP change
Anthem is happy to share some important updates. We've made changes to how PCPs are assigned to members. Starting October 19, 2024, providers can request PCP changes via the Availity Essentials platform:
- PCP assignment change: The process for initiating a PCP change has been modified to occur within the Availity Essentials platform. The system now carries out several checks to determine whether a member can be assigned to you. Factors such as member eligibility and your acceptance criteria are both considered in these checks. Once the change is made successfully, a confirmation page is displayed, which can be saved as a PDF or printed for your records.
- Recordkeeping: An electronic record is made of each PCP change and kept in our data warehouse. This data is stored for both immediate needs and historical purposes.
- Minor children's PCP change: The process for changing a minor child’s PCP has been standardized and becomes identical to that for adults. Please ensure to attest that you have updated the patient's record to state that the member concurs with the PCP change before initiating the PCP change request. Upon completion of the change, a confirmation will be shown, which you can save or print.
- New ID card distribution: Following a PCP change, a new ID card will be automatically generated and sent to the member’s address. The card carrier contains information regarding their PCP and details regarding how to change it through the member's online account or via our customer service team.
Steps to access PCP change form request via the Availity Essentials platform:
- Log in to Availity.com.
- Select Payer Spaces and Anthem Blue Cross Blue Shield Medicaid tile.
- Choose the PCP Change Request Tile.
Contact us
For immediate assistance, contact Provider Services at 844-396-2330 or access Availity.com to chat with a live agent or send a secure message.
Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
NVBCBS-CD-067844-24
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