> ## Documentation Index
> Fetch the complete documentation index at: https://docs.thrizer.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Register with Anthem out of network

> Follow the non-participating provider registration steps for Anthem and confirm your practice and clinician records.

## Before you start

Use this guide for a required Anthem Local / Host Plan in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, or Wisconsin. These markets document the same initial non-participating registration path. Other Blue companies in those states may use different processes.

If registration is incomplete, claims can be delayed. Not sure which plan applies? First [identify your required Local / Host Plan](/help/claims/bcbs-reimbursement-and-registration#find-and-register-with-your-local-/-host-plan). Registration is separate from joining a network.

For California, use the separate [Anthem Blue Cross California guide](/help/claims/bcbs-anthem-ca-provider-registration) and complete the required Blue Shield of California registration too.

## Register through Availity Essentials

<Steps>
  <Step title="Sign in with access to your practice">
    Sign in to [Availity Essentials](https://www.availity.com). If your practice is new to Availity, create its organization account and designate an administrator. Ask that administrator to check your permissions if needed.

    An Availity account is access to the tool, not registration with Anthem.
  </Step>

  <Step title="Open Anthem's enrollment application">
    Select the applicable market and **Payer Spaces**, then **Anthem**. Under **Applications**, open **Provider Enrollment and Network Management**. Follow your market's current official instructions if the application label has changed.
  </Step>

  <Step title="Choose the out-of-network option">
    Select **Out-of-Network / Single Case Agreements**. This shared label does not mean every registration requires a single-case agreement or an in-network contract.
  </Step>

  <Step title="Register the practice and include its clinicians">
    Complete the required organization and individual-clinician information. Your practice coordinates the records and their associations; clinicians in a group are not establishing separate practices.

    Do not assume a bulk clinician-roster upload is available. The state articles do not establish that capability, and most say it is still in development. If the application does not let you associate your clinicians, use **Chat with Payer** in the Anthem payer space for the required steps.
  </Step>

  <Step title="Review and confirm the records">
    Review the application and documents before submitting. Keep the confirmation and ask Anthem when the practice and required clinician records are active. Do not use network participation as a substitute if the out-of-network choice is missing.
  </Step>
</Steps>

## Updating an existing record

The linked state articles other than Ohio direct demographic changes to **My Providers → Provider Data Management**. Ohio's updated article does not provide those maintenance instructions; ask Anthem for the current Ohio update process. Avoid submitting a new initial registration just to change an existing record.

## Official instructions for your state

Use the article for the market where your practice needs to register:

[Colorado](https://providernews.anthem.com/colorado/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [Connecticut](https://providernews.anthem.com/connecticut/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [Georgia](https://providernews.anthem.com/georgia/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [Indiana](https://providernews.anthem.com/indiana/articles/new-availity-essentials-features-for-outofnetwork-providers-30741), [Kentucky](https://providernews.anthem.com/kentucky/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [Maine](https://providernews.anthem.com/maine/articles/new-availity-essentials-features-for-outofnetwork-providers-29064), [Missouri](https://providernews.anthem.com/missouri/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [Nevada](https://providernews.anthem.com/nevada/articles/new-availity-essentials-features-for-outofnetwork-providers-29070), [New Hampshire](https://providernews.anthem.com/new-hampshire/articles/new-availity-essentials-features-for-outofnetwork-providers-29067), [New York](https://providernews.anthem.com/new-york/articles/new-availity-essentials-features-for-outofnetwork-providers-29071), [Ohio](https://providernews.anthem.com/ohio/articles/new-availity-essentials-features-for-outofnetwork-providers-29073), [Virginia](https://providernews.anthem.com/virginia/articles/new-availity-essentials-features-for-outofnetwork-providers-29076), [Wisconsin](https://providernews.anthem.com/wisconsin/articles/new-availity-essentials-features-for-outofnetwork-providers-29078).

If a screen differs, confirm the organization permissions and payer space with your Availity administrator. Then contact Anthem through **Chat with Payer** or its provider-support channel.

## What happens next

Once each required plan confirms registration and the required clinician associations are active, [notify Thrizer support and review what happens next](/help/claims/bcbs-reimbursement-and-registration#registration-confirmed-next-steps).

The payer controls registration and claim decisions. Registration does not guarantee reimbursement or recognition of every clinician category. For associate, pre-licensed, or supervised clinicians, ask the payer about recognition and review [Thrizer's supported claim structure](/help/claims/bcbs-reimbursement-and-registration#associate-pre-licensed-or-supervised-clinicians).