Provider Resources Overview
Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to our members. On this page you will find frequently used forms, training resources, manuals and guides, prior authorization information, referral information and other support.
Provider forms
Find the forms you need to care for your patients — all categorized for quick access in our convenient online library.
Policies, guidelines and manuals
Get key information on covered services, utilization management, clinical guidelines, claims procedures, and reimbursement policies.
Precertification
Precertification is required for some categories of services, including inpatient hospital services and durable medical equipment rentals.
Learn about Availity Essentials
Many of the tools you use — such as eligibility or benefits inquiries, claims submission or status, and precertification requests — can easily be accessed from your Availity Essentials account.
Referrals
Get detailed information on coordinating referrals to a PCP, specialist, facility or pharmacy in a member’s plan.
Provider Training Academy
Anthem offers training and tutorials that support providers in caring for our members and continuing their education.
Provider tools & resources
- Log in to Availity
- Launch Digital Solutions Learning Hub Now
- Learn About Availity
- Precertification Lookup Tool
- Precertification Requirements
- Claims Overview
- Member Eligibility & Benefits Overview
- Policies, Guidelines & Manuals
- Referrals
- Forms
- Provider Training Academy
- Electronic Data Interchange (EDI)