Anthem Blue Cross Blue Shield

Nevada Providers

Welcome, providers!

Resources are here that help health care professionals do what they do best — care for our members.

At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you 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.

COVID-19 information

Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Sign up to receive email from Anthem

In order to communicate more efficiently with providers, Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Email is the quickest and most direct way to receive important information from Anthem. To receive email from Anthem (including some sent in lieu of fax or mail), fill out our sign-up form.

Provider News

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

ER Auto-Pay List

This list is effective as of June 1, 2021. The codes listed do not indicate whether a benefit is covered.

ER Reimbursement Update

Effective June 1, 2021 there will be changes to emergency facility claims billed under specified codes.

In Pursuit of Racial Equity: Deconstructing Bias

Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.

Race and ethnicity data to be published in provider directories

Attention Provider Types 19 (Nursing Facility) and 65 (Hospice, Long Term Care):

The State Fiscal Year 2021 quarter 3 rate updates have been implemented for free-standing nursing facilities for standard bed day services. Impacted provider types (PTs) are 19 (Nursing Facility) and 65 (Hospice, Long Term Care). The updated rates are effective on claims with dates of service on or after January 1, 2021. The rates were updated in the Medicaid Management Information System (MMIS) on January 19, 2021. No claims will be reprocessed as no claims were found in MMIS that were paid the previous rates on or after January 1, 2021, through January 19, 2021.

Featured resources

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Anthem Blue Cross and Blue Shield Healthcare Solutions

We’ve been helping Nevada families get and stay healthy since 2009.

Provider tools & resources

Interested in becoming a provider in our network?

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