Provider ServicesIf you have questions or need assistance, please contact your Provider Relations representative or contact Provider Services: Show
If you have questions:Phone:1-844-396-2330  Email:Fraud, Waste and Abuse ReferralsFraud, waste and abuse referrals can be made through the following avenues: Medicare/Medicaid Fraud Hotline:1-866-847-8247 Email usCompliance and Ethics Hotline:1-877-660-7890 Member Fraud, Waste and Abuse:1-800-600-4441 Receive email from AnthemAnthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield Healthcare Solutions self-service tools? Please use Availity for inquiries like payment
disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Anthem associate from within the Availity Portal. For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days. Provider tools & resources
Interested in becoming a provider in our network?We look forward to working with you to provide quality services to our members. We are committed to supporting you in providing quality care and services to the members in our network. Here you will find frequently used forms, PDFs, provider manuals and guides, policies, and
support for delivering benefits to our members. Provider forms are located on the Forms page of this site for easy access. Anthem Blue Cross (Anthem) offers training and tutorials to support providers
in continuing their education through the Provider Training Academy. We will add presentations, videos and other training documentation as they become available. Providers can also find information related to long-term services and supports (LTSS), interpreter assistance, community-based adult services (CBAS) and other programs on this page. Anthem provider manuals contain key administrative information, details regarding programs including the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Details regarding dental, vision and behavioral health services can also be found in the provider manuals. Provider manuals, policies and guidelines Learn about AvailityMany of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry and authorizations — can now be accessed by logging into your account on the Availity Portal. The Precertification Lookup Tool Online can help you determine a code’s precertification (prior authorization) requirements before a request is submitted. Behavioral HealthThe Behavioral Health provider network at Anthem includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs. Behavioral health resources
Interested in becoming a provider in the Anthem network?We look forward to working with you to provide quality services to our members. Is Anthem the same as Anthem Blue Cross in California?In California Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.
Is Anthem Blue Cross California a PPO or HMO?Anthem Blue Cross is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal. Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association.
What is the member service phone number Blue Shield of California?Talk with a registered nurse anytime you have health-related questions. To learn about discounts on chiropractic services, massage, gym memberships and more, call Blue Shield Member Services at (800) 642-6155.
Is Blue Shield of California the same as Blue Cross Blue Shield?Blue Cross and Blue Shield may be merged under the Blue Cross and Blue Shield Association in the majority of states. In California, however, Anthem Blue Cross and Blue Shield of California are two separate—and competing—health insurance companies with large networks.
Is Blue Shield of California owned by Anthem?“In California, Anthem Blue Cross and Blue Shield are actually different companies and are competitors. In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association. Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit.
What is the fax number for Anthem Blue Cross of California?Phone: Call 1‑888‑831‑2246, option 3 and ask for a form to be faxed to you. Fax: Send your request to: 1-800-754-4708. Anthem Blue Cross is the trade name of Blue Cross of California.
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Anthem blue cross of california provider phone number
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