Thank you for your role in an Anthem/Elevance-related program. As part of our due diligence to protect the privacy and security of Anthem/Elevance members, all providers serving these health plan members and using the LeSar Support Services portal must complete this form to gain access to the LeSar portal.
Please fill out the form below and hit submit when you are finished. If you have any questions regarding this form, please do not hesitate to reach out to us at [email protected].
Complete the Training:
Watch the training video
Please watch the privacy and security training video to completion. Once completed, move to step 2.
Complete the acknowledgement form
Once you have viewed the video and downloaded and reviewed the HIPAA Basics for Providers document, please complete the contact information below and select the acknowledgment button. Once completed, select submit. If you have any questions regarding the information included on this form, please contact us at [email protected].
