For help with eligibility verification, claims and general provider questions, please call the appropriate Anthem phone number below. Note that Anthem is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity Portal.
Call Provider Services
for prior authorization/notification, member eligibility, claims information, behavioral health, interpreter services, pharmacy services, case management, general inquiries and recommendations that you may have about improving our processes and managed care program. Hours: Monday to Friday from 8 a.m. to 6 p.m. ET (Interactive Voice Response (IVR) System available 24 hours a day, 7 days a week)Provider Services
Phone: 1-855-661-2028 Fax: 1-800-964-3627
Receive email from Anthem Blue Cross and Blue Shield Medicaid (Anthem)
Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.
Provider Relations
East team
Phone:
1-800-205-5870
option 3, option 1
West team
Phone:
1-800-205-5870
option 3, option 2
Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield
Medicaid 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.Email a Provider Experience associate
Prior authorization
Anthem is available by phone or the Interactive Care Reviewer (ICR) via Availity 24 hours a day, 7 days a week to accept prior authorization requests.
Prior authorization phone
Phone:
1-855-661-2028
Prior authorization fax numbers:
- Prior authorization fax (medical): 1-800-964-3627
- Behavioral health inpatient precertification fax: 1-877-434-7578
- Behavioral health outpatient precertification fax: 1-866-877-5229
- Retail pharmacy fax: 1-844-879-2961
- Medical injectables fax: 1-844-487-9289
Disease Management
Our Disease Management care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. Eastern time, Monday through Friday. Confidential voice mail is available 24 hours a day.
Please call 1-888-830-4300 to reach one of our care managers.
Reporting changes in practice status or updating provider information
Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Anthem.
Need to report changes in practice status to Anthem?
Please complete the Provider Maintenance Form.
For additional contact information, including contact information for services such as dental, vision services and utilization management, please refer to your provider manual.
Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid.
Provider tools & resources
- Log in to Availity
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Reimbursement Policies
- Provider Manuals, Policies & Guidelines
- Referrals
- Forms
- Provider Training Academy
- Pharmacy Information
Interested in becoming a provider in the Anthem network?
We look forward to working with you to provide quality services to our members.
Anthem provides one convenient number for all provider questions and inquiries, including:Anthem Provider Services
855-558-1443 TTY: 711 800-964-3627Phone:
Fax:
24/7 NurseLine (interpreter services)
Phone:
855-690-7800
TTY: 711
Receive email from Anthem Blue Cross and Blue Shield (Anthem)
Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.
Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield 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.Email a Provider Experience associate
ForwardHealth contacts
Contact ForwardHealth for questions about:
- Pharmacy and prescription drug coverage
- Dental and vision benefits
- State-covered services (see Anthem Provider Manual for details)
ForwardHealth Phone:
800-947-3544
ForwardHealth Website:
Provider tools & resources
- Log in to Availity
- Learn About Availity
- Precertification Lookup Tool
- Precertification Requirements
- Claims Overview
- Member Eligibility & Benefits Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Electronic Data Interchange (EDI)
Interested in becoming a provider in the Anthem network?
We look forward to working with you to provide quality services to our members.