Anthem blue cross and blue shield provider phone number

For help with eligibility verification, claims and general provider questions, please call the appropriate Anthem phone number below. Note that Anthem is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity Portal.

Provider Services

Call Provider Services for prior authorization/notification, member eligibility, claims information, behavioral health, interpreter services, pharmacy services, case management, general inquiries and recommendations that you may have about improving our processes and managed care program.

Hours: Monday to Friday from 8 a.m. to 6 p.m. ET (Interactive Voice Response (IVR) System available 24 hours a day, 7 days a week)

Phone:

1-855-661-2028

Fax:

1-800-964-3627

Receive email from Anthem Blue Cross and Blue Shield Medicaid (Anthem)

Anthem sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.

Phone:

1-800-205-5870
option 3, option 1

Phone:

1-800-205-5870
option 3, option 2

Email a Provider Experience associate

Did you know that most questions and issues can be resolved by using the Anthem Blue Cross and Blue Shield Medicaid self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Anthem associate from within the Availity Portal.

For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.

Prior authorization

Anthem is available by phone or the Interactive Care Reviewer (ICR) via Availity 24 hours a day, 7 days a week to accept prior authorization requests.

Prior authorization phone

Phone:

1-855-661-2028

Prior authorization fax numbers:

• Prior authorization fax (medical): 1-800-964-3627
• Behavioral health inpatient precertification fax: 1-877-434-7578
• Behavioral health outpatient precertification fax: 1-866-877-5229
• Retail pharmacy fax: 1-844-879-2961
• Medical injectables fax: 1-844-487-9289

Disease Management

Our Disease Management care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. Eastern time, Monday through Friday. Confidential voice mail is available 24 hours a day. 

Please call 1-888-830-4300 to reach one of our care managers.

Reporting changes in practice status or updating provider information

Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Anthem. 

Need to report changes in practice status to Anthem?

Please complete the Provider Maintenance Form.

For additional contact information, including contact information for services such as dental, vision services and utilization management, please refer to your provider manual.

Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid.

Provider tools & resources

• Log in to Availity
• Learn about Availity
• Prior Authorization Lookup Tool
• Prior Authorization Requirements
• Claims Overview
• Reimbursement Policies
• Provider Manuals, Policies & Guidelines
• Referrals
• Forms
• Provider Training Academy
• Pharmacy Information