Please enter a valid Tax ID or contact customer service at 1-888-466-9656 Option 3, or email cs@inmediata.com for help.
Registration cannot be completed without your correct Tax ID or SSN
Please enter a valid NPI or contact customer service at 1-888-466-9656 Option 3, or email cs@inmediata.com for help.
Please contact customer service at 1-888-466-9656 Option 3, or email cs@inmediata.com for help.
Please use Type 1 Individual NPI. If you have registered for a Type 2 Group NPI, please change Organization Type to “Provider Organization”.
Please use Type 2 Group NPI. If you have not registered for a Type 2 Group NPI, please change Organization Type to “Individual Provider”.
Person who has legal authority to sign agreements for organization
Person who will manage account set up and maintain users
Check this if the same person as the Primary Controlling Authority
MESSAGE: ATTENTION: On July 15th Anthem has moved to a new portal. The last date you will be able to use this site is July 31, 2018. You must register your office and take free training classes. Please visit Availity now