New Digital Provider Enrollment tool added to Availity
This communication applies to the Commercial, Medicaid, and Medicare Advantage programs for Anthem Blue Cross and Blue Shield (Anthem) in Wisconsin.
In June, Anthem added new functionality to the provider enrollment tool hosted on Availity* to further automate and improve your online enrollment experience.
Who can use this new tool?
Digital provider enrollment is currently only available for professional practitioners.
Note: Facilities and providers who submit rosters or have delegated agreements will continue to use the existing enrollment process in place.
What features does the tool provide?
- Apply to add new practitioners to an already existing group
- Apply and request a contract to enroll a new group of practitioners
- Monitor submitted applications statuses real-time with a digital dashboard
How the online enrollment application works
The system pulls in all your professional and practice details from Council for Affordable Quality Healthcare (CAQH) ProView to populate the information Anthem needs to complete the enrollment process — including credentialing, claims, and directory administration. Please ensure your provider information on CAQH is updated and in complete or re-attested status.
The online enrollment application will guide you through the process, and a dashboard will display real-time application statuses. You’ll know where each provider is in the process without having to call or email for a status.
Accessing the provider enrollment application
Log onto availity.com and select Payer Spaces > Anthem > Applications > Provider Enrollment to begin the enrollment process.
Before you begin
If your organization is not currently registered for Availity, the person in your organization designated as the Availity administrator should go to availity.com and select Register.
For organizations already using Availity, your administrator(s) will automatically be granted access to the provider enrollment tool.
Staff using the provider enrollment tool need to be granted the user role Provider Enrollment by an administrator. To find yours, go to My Account Dashboard > My Account > Organization(s) > Administrator Information.
Need assistance with registering for Availity?
September 2022 Anthem Provider News - Wisconsin