Welcome, Wisconsin providers!

Find the resources that help health care professionals do what they do best — care for our members.

Anthem Blue Cross and Blue Shield (Anthem) values your partnership as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.
 
For questions about eligibility, benefits, authorizations, claims status, and more, log in to Availity Essentials and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.
 

Join the LTSS Family Care Provider Network

Thank you for your interest in joining the Long-Term Services and Supports Family Care Network with Anthem. Please complete our Family Care Application to become part of our provider network. Instructions for submitting the Family Care Application can be found on the application coversheet.

Update provider practice information

Care providers contracted with Anthem should use Availity Essentials Provider Demographic Management (PDM) application to request changes to existing practice information.

If you are an existing provider group and wish to make a demographic change, such as updating your address or telephone number, or if you would like to remove a practitioner from your practice, please visit our Provider Maintenance and Demographic Updates page.

 

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.

Availity Essentials access

The Availity Essentials platform offers health care professionals no-cost access to real-time information and instant responses in a consistent format, regardless of the payer.

With Availity Essentials, you can:

Request authorizations
Submit claims
Confirm eligibility

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Provider News

Provider News is your source for important news and announcements, including policy updates, prior authorization changes, new product and program offerings, and more.

Featured resources

Policies, guidelines & manuals

Find information on member benefits, program requirements, Utilization Management (UM) guidelines, clinical practice policies and other resources for providing care to our members.

Maternal child services

When it comes to our expectant mothers, we are committed to keeping both mom and baby healthy.

Behavioral health

We work collaboratively with many community and mental health resources to successfully meet the needs of members who struggle with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the Anthem network?

We look forward to working with you to provide quality services to our members.