Anthem Blue Cross

Providers - California

Provider Manuals, Policies and Guidelines


Anthem Blue Cross (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Here you will find the Anthem provider manuals, guidelines for clinical Utilization Management (UM), medical policies and coding spotlights for common conditions.

Provider Manuals

The Anthem provider manuals provide key administrative information, details regarding programs that include the UM program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more.

Policies and Guidelines

Medical Policies address the medical necessity of new services or procedures and new applications of existing services or procedures. Clinical UM Guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services.

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.