For Providers: What is Provider Enrollment and Change Self-Service?

Provider Enrollment and Change Self-Service is an application for group administrators within our provider portal, Availity Essentials™.

With it, you can update your information with us and enroll new practitioners within your group.

Who can use it

Group administrators who maintain data for health care practitioners can use this app.

These professional health care practitioner groups include:

• Physicians
• Mid-level practitioners
• Behavioral health practitioners
• Vision and hearing practitioners

What you can do

Here's a list of services you can complete with this application based on your provider type:

Professional groups

• Add or remove practice locations
• Add or remove network participation
• Change primary, remit, mailing address or tax ID
• Maintain office hours and location services
• Maintain location contact information
• Terminate groups and allied providers

Practitioners in professional groups

• Enroll or remove practitioners with group
• Move practitioners between groups
• Maintain practice locations within group
• Maintain Blue Care Network PCP status with group
• Move members when BCN PCP disaffiliates
• Maintain BCN Managed Care Group affiliations with your group

How to sign up

If you’re already registered for our portal, log in at availity.com. Not registered? Learn how to register for web tools.