Anthem Blue Cross

Providers - California

Prior Authorization Lookup Tool


Please verify benefit coverage prior to rendering services. Inpatient services and nonparticipating providers always require prior authorization. 

Please note:

  1. This tool is for outpatient services only.
  2. Inpatient services and nonparticipating providers always require prior authorization.
  3. This tool does not reflect benefits coverage* nor does it include an exhaustive listing of all noncovered services (in other words, experimental procedures, cosmetic surgery, etc.)— refer to your provider manual for coverage/limitations.

* Services may be listed as requiring precertification (prior authorization) that may not be covered benefits for a particular member. Please verify benefit coverage prior to rendering services.

To determine coverage of a particular service or procedure for a specific member:


  • Access eligibility and benefits information on the Availity Web Portal or
  • Use the Prior Authorization Lookup Tool within Availity or
  • Contact the Customer Care Center:
    • Outside Los Angeles County: 1-800-407-4627
    • Inside Los Angeles County: 1-888-285-7801
    • Customer Care Center hours are Monday to Friday 7 a.m. to 7 p.m. 
    • After hours, verify member eligibility by calling the 24/7 NurseLine at 1-800-224-0336.

Customer Care Center

Monday to Friday, 7 a.m. to 7 p.m.


 

Outside Los Angeles County:

1-800-407-4627

Inside Los Angeles County:

1-888-285-7801

After hours, call the 24/7 NurseLine to verify member eligibility:


 

Phone:

1-800-224-0336

To request authorizations:

  1. From the Availity homepage, select Patient Registration from the top navigation. 
  2. Select Auth/Referral Inquiry or Authorizations.

Provider tools & resources

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