Anthem Blue Cross Blue Shield

Indiana Providers

Claims submissions and disputes


Anthem Blue Cross and Blue Shield (Anthem) uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more.

Don’t have an Availity account?

Finding claims tools on Availity

Submit claims

  1. From the Availity home page, select Claims & Payments from the top navigation.
  2. Select Type of claim from the drop-down menu.

Claims status inquiry

  1. From the Availity home page, select Claims & Payments from the top navigation.
  2. Select Claims Status Inquiry from the drop-down menu.

Claims dispute

To check claims status or dispute a claim:

  1. From the Availity home page, select Claims & Payments from the top navigation.
  2. Select Claim Status Inquiry from the drop-down menu.
  3. Submit an inquiry and review the Claims Status Detail page.
  4. If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin the process. You'll be redirected to the Payer site to complete the submission.

Clear Claims Connection

To use Clear Claims Connection:

  1. From the Availity home page, select Payer Spaces from the top navigation.
  2. Select the health plan.
  3. From the Payer Spaces home page, select the Applications tab.

Select the Clear Claims Connection tile.

Provider claim dispute process

Providers who disagree with the outcome of a claim can dispute that outcome when the claim is finalized. The payment dispute process consists of two internal steps. Providers will not be penalized for filing a claim payment dispute.

  1. Claim payment reconsideration. This is the first step and must be completed within 60 calendar days of the date of the provider’s remittance advice.
  2. Claim payment appeal. This is the second step in the process. This is if the provider disagrees with the outcome of the reconsideration and must be submitted within 60 days of the date on the decision letter.

Both steps can be done via Availity, fax or mail. Reconsiderations can also be submitted verbally through Provider Services.

For more information regarding the claim payment dispute process, please refer to Chapter 13 in the Provider Manual .

Indiana Health Coverage Programs fee schedule

Hoosier Healthwise and Hoosier Care Connect

Visit the Indiana Health Coverage Programs fee schedule for reimbursement information for standard CPT, HCPCS and current dental terminology codes. Reimbursement for rendered services is based on negotiated rates.

Healthy Indiana Plan (HIP)

HIP pays at Medicare rates or 130% of Indiana Medicaid rates if no Medicare rate exists. Visit the CMS fee schedule for Medicare reimbursement information. If no Medicare rate exists, visit the Indiana Health Coverage Programs fee schedule for Medicaid reimbursement information. Exception: Facility charges for individuals that qualify as low-income parents and caretakers, and 19- and 20-year-old low-income dependents enrolled in HIP will be reimbursed at Medicaid rates.

Related information

Page Last Updated: 07/16/2021

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