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.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Receive email from Anthem

Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Provider News

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

COVID Vaccine Counseling

As of December 2, 2021, stand-alone COVID-19 vaccine counseling (when a COVID-19 vaccine is counseled and not administered) is a covered Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children under the age of 21 years old in Medicaid and Nevada Check Up.

Anthem Blue Cross and Blue Shield Healthcare Solutions follows the limitations for behavioral therapy sessions from the Medicaid Services Manual. Prior authorization is required once the session’s limitations have been met. Therapy limits apply to the following to codes: 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90845, 90846, 90847, 90849, 90853 and H0004.

Behavioral health therapy session limitations

Anthem Blue Cross and Blue Shield Healthcare Solutions follows the limitations for behavioral therapy sessions from the Medicaid Services Manual. Prior authorization is required once the session’s limitations have been met. Therapy limits apply to the following to codes: 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90845, 90846, 90847, 90849, 90853 and H0004.

CHESS Health/Connections App: Recovery Support for members

In partnership with Anthem Medicaid, CHESS Health is now offering the Connections App, available for free to you and your patients covered by Anthem Medicaid.

COVID-19 vaccines for youth toolkit available

COVID-19 vaccines for youth toolkit available

Experience the difference: Your Provider Experience team

Did you know that Provider Relations has been redesigned into the Provider Experience team?

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.

Accredited NCQA Health Plan

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.