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.
Many 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.
The 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.