In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. If your state isn't listed, check out bcbs.com to find coverage in your area. We are in the process of migrating all historical remittance advices to our secure self-service provider website. No action is required for providers already registered for electronic funds transfers (EFTs) and electronic remittance advices (ERAs). Jul 1, 2021 Please contact Availity Client Services with any questions at 1-800-AVAILITY (282-4548). Read more about going digital with Anthem in the Provider Digital Engagement Supplement available online. Learn about our parent company, Elevance Health. The resources for our providers may differ between states. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. If you are a provider who receives paper claim checks or EFT payments from Anthem on a daily basis, you will be able to schedule posting on a weekly cycle after this change. In Ohio: Community Insurance Company. Register for ERAs at https://www.availity.com. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Register Today: Continuing to Explore the Intersection of Race and Disability, Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines, Register today: Exploring the intersection of race and disability. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit; Kaiser Permanente Phone Number - Claims address and Timely Filing Limit; . Process to enroll or updated electronic transactions after December 1, 2108. How do I access historical ERAs from Change Healthcare and PaySpan? Medical Policies & Clinical UM Guidelines, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), HEDIS (The Healthcare Effectiveness Data & Information Set). All PAs will be managed by MedImpact. This change will ensure efficiency and consistency between professional and facility claim payments. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Type at least three letters and we will start finding suggestions for you. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. If you have questions about this communication, received this fax in error or need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-844-396-2330. You can also visit, AIM PT/OT/ST Authorization Important Notice, Anthem taps Paul Marchetti to lead companys overall care transformation strategy, Medicare Supplement claim error expected to be resolved by March 31, Medicare Supplement members to receive new ID cards; claims handling for crossover, Medicare Supplement Member ID Card Change Postponed. Contact Anthem Blue Cross and Blue Shield (Anthem) Network Relations Map Provider Helpline For provider questions and claims issues Hoosier Healthwise Phone 866-408-6132 Fax 866-406-2803 Healthy Indiana Plan Phone 844-533-1995 Fax 866-406-2803 Hoosier Care Connect Phone 844-284-1798 Fax 866-406-2803 Prior authorizations phone We currently don't offer resources in your area, but you can select an option below to see information for that state. All Kentucky Medicaid managed care organizations (MCO), including Anthem Blue Cross and Blue Shield Medicaid, will be partnering with MedImpact* for pharmacy claims processing and pharmacy prior authorizations (PA). We look forward to working with you to provide quality services to our members. Independent licensees of the Blue Cross and Blue Shield Association. As the nation's second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access. New EFT enrollment: Go to EnrollHub, a Council for Affordable Quality Healthcare (CAQH) Solutions enrollment tool. 2021 copyright of Anthem Insurance Companies, Inc. As a leader in managed healthcare services for the public sector, Anthem Blue Cross and Blue Shield Medicaid helps low-income families, children and pregnant women get the healthcare they need. That's why weve redesigned the provider site to make it more useful for you and easier to use. Get started by registering to create an account. The PDF versions of paper remittances are available on the provider self-service website. We currently don't offer resources in your area, but you can select an option below to see information for that state. Community-Based Adult Services (CBAS) and Long-Term Services and Support (LTSS) CBAS and LTSS Department for Medi-Cal and MRMIP Hours: Monday to Friday, 8 a.m. to 5 p.m. Please Select Your State Both provider and clearinghouse. Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. The call is free. Use of the Anthem websites constitutes your agreement with our Terms of Use. Call Member Services at. Use the Provider Maintenance Form to update your email. The resources for our providers may differ between states. Learn more about behavioral health resources. In Ohio: Community Insurance Company. Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. Your Provider Experience representative will respond usually within two business days. Providers should inquire with trading partners and other vendors they work with to understand additional steps or any changes to services. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Smiles for Children. WIC (Supplemental Nutrition Program for Women, Infants, and Children) 1-888-942-3663. Welcome to the EnrollSafe Enrollment Hub. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Effective July 1, 2021, the following changes will be made to the Kentucky Medicaid pharmacy benefit: * MedImpact, Cover My Meds, Surescripts, and CenterX ePA are independent companies providing some pharmacy benefit services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Go to. For other issues, you can message the Provider Experience team. Use of the Anthem websites constitutes your agreement with our Terms of Use. About Anthem. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. All Kentucky Medicaid managed care organizations (MCO), including Anthem Blue Cross and Blue Shield Medicaid, will be partnering with MedImpact* for pharmacy claims processing and pharmacy prior authorizations (PA). Contact ForwardHealth for questions about: We look forward to working with you to provide quality services to our members. Anthem is committed to making healthcare simpler and reducing health disparities. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Effective December 1, 2018, we will discontinue the email notification providers currently receive when an EFT and ERA is issued. Guides. Access resources to help health care professionals do what they do bestcare for our members. We will notify you when the migration is complete. We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility. Already a member and need help with something? Our contact information is specific to state. Administrative / Digital Tools. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and our members against contagious illnesses. Providers are not obligated to register for either EFT or ERA and will continue to receive a paper check and remittance advice. Availity Essentials PRO (RCM) Customers: Call 1-877-927-8000 for technical support. We currently don't offer resources in your area, but you can select an option below to see information for that state. If you are a member, log in for personalized contact information. More information about retrieving copies of remittance advices is available online. Submitted registrations will be reviewed by the EnrollSafe team . Call. Search for up-to-date drug information, including hundreds of brand-name and generic medications. 844-421-5662 (Anthem Medicare Individual Business) 800-676-2583 (Anthem Medicare Group Business) 866-408-6131 (Anthem Indiana Medicaid/Hossler health wise) 855-661-2028 (Anthem Kentucky Medicaid) 866-594-0521 (Blue Card Provider Phone Number) 855-854-1438 (Exchange Kentucky/Indiana) 800-456-3967 (FEP) 800-345-4344 (Healthy Indiana Plan - HIP . November 2022 Anthem Provider News - Nevada, Update to the professional fee schedule - Nevada, COVID-19 Information Nevada Publication RETIRED as of November 8, 2022, MCG Care Guidelines 26th edition - Nevada, October 2018 Anthem Provider Newsletter - NV. In Connecticut: Anthem Health Plans, Inc. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Anthem Blue-Cross: DAI: Massachusetts: Blue-Cross Blue-Shield of Massachusetts: DAJ: South Dakota/Iowa: Wellmark Blue-Cross Blue-Shield: DAK: Then select Chat with Payer and complete the pre-chat form to start your chat. Call now: 800-619-6164 (TTY: 711) Speak to a licensed agent, seven days a week, 8 a.m. to 8 p.m. Phone: 1-855-871-4899 Fax: 1-855-336-4041 Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield self-service tools? 2005 - 2022 copyright of Anthem Insurance Companies, Inc. In Maine: Anthem Health Plans of Maine, Inc. It looks like you're in . To access our tutorial, Starting in 2018, more claim payments and remittance advices issued by Anthem will be made on a. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. If you have an Availity Essentials account and cannot log in to submit a ticket, contact Availity Client Services at 1-800-282-4548. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). Go to anthem.com, select Providers, under the Provider Resources heading select Forms and Guides. The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. At Anthem Blue Cross and Blue Shield Medicaid (Anthem), we value you as a provider in our network. Guide to Choosing a Medicaid health plan (English) Guide to Choosing a Medicaid health plan (Spanish) 1-888-912-3456. Please update your browser if the service fails to run our website. November 2022 Anthem Provider News - Wisconsin, MCG care guidelines 26th edition update - Wisconsin, CME webinar about low back pain management - Wisconsin, October 2022 Anthem Provider News - Wisconsin, July 2021 Anthem Provider News - Wisconsin. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More Call About Medicare With Extra Benefits We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. The latest articles and announcements on our Medicaid policies, processes, updates to Clinical Guidelines, claims filings, state and federal regulatory changes, and more: Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. In Indiana: Anthem Insurance Companies, Inc. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Vaccination is important in fighting against infectious diseases. This enables Anthem to meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Choose your location to get started. The EnrollSafe EFT Enrollment Hub enables you to enroll in electronic funds transfer (EFT) processing for all participating plans in one simple and easy-to-use portal at no cost to providers. By Phone: Call the number on the back of the member's ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. As part of the AIM guideline annual review process, these updates are focused on advancing efforts to drive clinically appropriate, safe, and affordable healthcare services. Use the CAQH EFT EnrollHub tool available at http://www.caqh.org/solutions/enrollhub. Anthem provides one convenient number for all provider questions and inquiries, including: Behavioral health Case management Claims Credentialing and recredentialing Eligibility and benefits Grievances and appeals Medical management Precertification Phone: 855-558-1443 TTY: 711 Fax: 800-964-3627 24/7 NurseLine (interpreter services) Phone: This change does not impact payment to you in any way. H6229_22_3001706_U CMS Accepted 12/29/2021 Page Last Updated on 01/01/2022. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. We look forward to working with you to provide quality services to our members. Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786. Get these benefits, plus more. Transportation Services (CCC Plus members) 1-855-325-7581. It looks like you're outside the United States. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. We believe that continuing the discussion we started at our June 2022 event to deepen the conversation about the disability experience for people of color is critically important. CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). Change Healthcare and PaySpan will no longer be used for EFT/ERA enrollment. What we all do impacts those around us. Go to Availity Portal and select Anthem from the payer spaces drop-down. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. In Indiana: Anthem Insurance Companies, Inc. Please continue to use Change Healthcare and PaySpan until that time. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Providers can register or manage account changes for EFT via the CAQH enrollment tool called EnrollHub. Anthem Blue Cross and Blue Shield (Anthem) expects providers to accept payment via EFT in lieu of paper checks. Oct 1, 2018 Resources that help healthcare professionals do what they do best care for our members. Our resources vary by state. FAQ. Select your state if you haven't done so already. Anthem Blue Cross Blue Shield (855) 690-7784 Humana Healthy Horizons in Kentucky (800) 444-9137 Passport Health Plan by Molina Healthcare (844) 778-2700 UnitedHealthcare Community Plan (866) 293-1796 WellCare of Kentucky (877) 389-9457. Provider Maintenance Form. Anthem Blue Cross and Blue Shield Member Site. There is no cost to providers from Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem). Anthem is a registered trademark of Anthem Insurance Companies, Inc. State & Federal / Medicaid. As the nations second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access. Anthem is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Anthem Blue Cross and Blue Shield Medicaid is the trade name of Anthem Kentucky Managed Care Plan, Inc., independent licensee of the Blue Cross and Blue Shield Association. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity. So Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities. We look forward to working with you to provide quality services to our members. You can also visit bcbs.com to find resources for other states. Find drug lists, pharmacy program information, and provider resources. The following chart summarizes information about the new processes to enroll in EFT or ERA or to update EFT and ERA transaction information after December 1, 2018. Medicaid claims are identified in the Claim Filing Indicator Code (CLP06 segment) on the. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Interested in joining our provider network? We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources. These learning opportunities will assist you in administering your patients health plan and provide you with the knowledge to best assist our members. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield. Transportation Services (Medallion Medicaid members only) 1-877-892-3988. Call: 1-800-AVAILITY (282-4548) An EPSDT clinic or other organization qualified to provide a screening service, including a local health department, shall be under the direction of a licensed physician, pediatric advanced registered nurse practitioner, or registered professional nurse currently licensed by the state of Kentucky. Featured In: Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve all Americans. 1172-0721-PN-CNT. By eliminating paper checks, EFT payments are deposited directly into your account faster. 2021 copyright of Anthem Insurance Companies, Inc. Anthem Blue Cross and Blue Shield is the trade name of Compcare Health Services Insurance Corporation, an independent licensee of the Blue Cross and Blue Shield Association. You will now see. Please use You can also live chat with an Anthem associate from within the Availity Portal. Effective December 1, 2018, our provider disbursement processes are changing. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Your browser is not supported. Use the Provider Maintenance Form to update your email. Find answers to questions regarding benefits, claims, prescriptions and more. In Kentucky: Anthem Health Plans of Kentucky, Inc. These changes include the following: These enhancements offer providers streamlined reimbursement registration tools. Otherwise, please select your state. Interested in joining our provider network? The payee name that appears on the EFT statement is changing and will be easily identifiable. We look forward to working with you to provide quality service for our members. Effective for dates of service on and after September 11, 2022, the following updates will apply to the AIM Specialty Health* (AIM) Advanced Imaging Clinical Appropriateness Guidelines. This tool will help eliminate the need for paper registration, reduce administrative time and costs and allows physicians and facilities to register with multiple payers at one time. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. New ERA-only enrollment and change management for existing ERA-only enrollments: These will be managed through Availity. Independent licensees of the Blue Cross and Blue Shield Association. Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. In Connecticut: Anthem Health Plans, Inc. In Maine: Anthem Health Plans of Maine, Inc. From the Category drop down, select Digital Tools, then Provider Digital Engagement Supplement. From the Category drop down, select Digital Tools, then Provider Digital Engagement Supplement. Your dashboard may experience future loading problems if not resolved. 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Please complete the In Kentucky: Anthem Health Plans of Kentucky, Inc. Find drug lists, pharmacy program information, and provider resources. Anthem provides one convenient number for all provider questions and inquiries, including: Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Select your state if you havent done so already. Kentucky Cabinet for Health and Human Services: Department for Medicaid Services. A dental program of the Commonwealth of Virginia. Go to anthem.com, select Providers, under the Provider Resources heading select Forms and Guides. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Is there a cost to providers for the changes to the EFT and ERA? The Automated Clearing House batch header is changing. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Thats why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. All PAs will be managed by MedImpact.
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