Patient care overview
We have collected resources to support care for members in our network. Here, you will find behavioral health services, maternal child services, health education resources, and condition care program support.
Behavioral health
The Anthem Blue Cross and Blue Shield (Anthem) behavioral health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, other mental health providers, and employee assistance healthcare professionals. Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Maternal child services
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 care management and care coordination program for all expectant mothers and their newborns. As part of the New Baby, New LifeSM program, members are offered the My Advocate® program. This program provides pregnant and postpartum women proactive, culturally appropriate outreach and education through Interactive Voice Response. Eligible members receive regular phone calls with tailored content from a voice personality (Mary Beth), or they may choose to access the program via a smartphone application or website.
Telehealth services
By developing programs using leading edge technologies, our solutions expand the reach and scope of services in both rural and urban settings to provide new and existing members with direct options that increase their engagement and support their urgent, wellness, and behavioral health needs.
Health education resources
We advocate a community approach to health education and outreach activities and have a proven record of collaborating with community and faith-based organizations, advocacy groups, and other community resources.
Condition care
Our condition care program is based on a system of coordinated care management interventions and communications designed to support physicians and other providers in managing members with chronic conditions.
Provider tools & resources
- Log in to Availity Essentials
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Provider Search Tool
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)