Anthem Expands Availity Access for Out-of-Network Providers

05/06/2026

Availity Essentials Adds Self-Service Tools for Out-of-Network Providers


Starting mid-April 2026, Anthem will roll out new functionality in Availity Essentials that lets out-of-network providers register their organizations and manage demographic information directly — without phone calls or manual paperwork. The updates apply across commercial, Medicare Advantage, and Medicaid lines of business.


Rolling out: mid-April 2026 

Commercial · MA · Medicaid 

Out-of-network providers 


What's New

  • OON provider registration: Out-of-network organizations and individual practitioners can now proactively register with Anthem via Availity Essentials — supporting single case agreements, service authorizations, and cleaner claims processing.
  • Demographic self-service: OON providers can now update practice location, contact details, and remittance addresses for claims payments directly through Availity's Provider Data Management tool.


Why This Matters for Credentialing Teams


Previously, out-of-network providers had limited ability to interact with Anthem's systems proactively — registration and demographic updates often required direct outreach or manual processes. These new tools bring OON providers closer to the same self-service experience available to participating providers, which should reduce friction around single case agreements, prior authorizations, and remittance routing. For credentialing staff managing OON relationships, this is a meaningful shift in how administrative tasks get handled.


Step-by-Step: How to Use the New Features

Register as an OON provider: 

  1. Log in at availity.com 
  2. Select Payer Spaces → Anthem 
  3. Go to Applications → Provider Enrollment and Network Management 
  4. Select Out-of-Network / Single Case Agreements to begin 

 

Submit demographic updates: 

  1. Log in at availity.com 
  2. Select My Providers 
  3. Choose Provider Data Management (PDM) 
  4. Update location, contact details, or remittance address 


Practitioner roster submission not yet available. Functionality allowing non-participating organizations to submit practitioner rosters through Availity is still in development. A separate communication will be issued when this goes live.


Getting Your Team Set Up

If your organization is not yet registered in Availity Essentials, go to availity.com and select Register to create an account and designate an administrator. Existing administrators can add or update user roles and permissions through the My Account Dashboard. New users do not need a separate registration — your administrator can grant access directly.


Support

Chat with Payer (business hours): Log in → select Anthem payer space → Chat with Payer → complete pre-chat form 


Availity Client Services: 800-282-4548 · Mon–Fri 8 AM–7 PM ET 

Availity platform: availity.com

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