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Information for Indiana

Provider Maintenance

Providers contracted with Anthem Blue Cross and Blue Shield (Anthem) should utilize Availity’s Provider Demographic Management (PDM) application hosted on www.availity.com to request changes to existing practice information.

Request data updates via either one of the following options within Availity Essentials PDM:

  • Multi-payer platform option: Allows providers to make updates once and have that information sent to all participating health plans, submitting each change separately.
  • Upload Roster option: Allows providers to submit multiple updates within one spreadsheet via the Upload Rosters feature:

Roster Automation is a new system upgrade that will read a standardized form, identify necessary changes, and update the demographic system.

Roster Automation Rules of Engagement

Roster Automation Standard Template

If your organization is not currently registered with Availity, the person(s) designated as your administrator(s) should go to www.Availity.com and select register in the upper right-hand corner of the webpage in order to obtain an Availity account. You may also navigate directly to Availity’s registration website by clicking here: Availity registration.

If you are (1) an existing contracted group and wish to add a provider; (2) a member of the Indiana HIP and Medicaid Panel and wish to submit a change; or (3) a non-contracted physician, professional, or ancillary provider and would like to join Anthem’s network:

Begin Application

 
If you are already connected with Anthem and are interested in participating in additional networks, please contact your Provider Contract Specialist via phone or email using the Master Contact Lists for Indiana Provider Solutions.

For NON-PARTICIPATING provider address requests ONLY - Complete each required field in the Template Link for address update requests. Email completed file to nonparmaintenance@anthem.com. Any other items submitted to this email address will be rejected.