Our Interactive Care Reviewer (ICR) tool via Availity is the preferred method for submitting prior authorization requests, offering a streamlined and efficient experience for providers requesting inpatient and outpatient medical or behavioral health services for our members. Anthem Blue Cross and Blue Shield Medicaid (Anthem) is available via phone or the ICR 24 hours a day, 7 days a week to accept prior authorization (PA) requests. You
can access the ICR from the Availity home page: Prior authorization contact information for AnthemProviders and staff can also contact Anthem for help with prior authorization via the following methods: Provider Services: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 Pharmacy departmentHours: Monday to Friday from 8 a.m. to 6 p.m. ET Phone: 1-855-661-2028 Retail pharmacy fax: 1-844-879-2961 Medical injectables fax: 1-844-487-9289 Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. Provider tools & resources
Interested in becoming a provider in the Anthem network?We look forward to working with you to provide quality services to our members.
CaliforniaProvider CommunicationsUpdated prior authorization form for providersDec 1, 2018 • State & Federal / Medi-Cal Managed Care As of October 1, 2018 you should be utilizing the new Anthem Blue Cross (Anthem) prior authorization form for Medi‑Cal Managed Care and L.A. Care members. You will be happy to know that we have added additional requirements to make it easier for you when submitting prior authorization requests. This will help in a faster turn-around-time and will help us in servicing you better. Additional requirements added include:
Acquire an Anthem prior authorization form via web, phone or fax:
Featured In: © 2005 - 2022 copyright of Anthem Insurance Companies, Inc. 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. 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 ©2022 Empire To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer (ICR) tool via Availity. Once logged in, select Patient Registration | Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate. Don’t have an Availity account?Need help with Availity?
Participating and Nonparticipating Durable Medical Equipment ProvidersFor durable medical equipment (DME), outpatient rehabilitation (physical therapy/occupational therapy/speech therapy), pain management, home care, home infusion or hyperbaric treatment, and wound care, please fax to 1-866-920-8362. Please fax to:Fax:1-866-920-8362 All Other Precertification Requests (Including Elective Inpatient or Outpatient Services) use the following: Fax:1-800-964-3627 Phone:1-844-396-2330 Behavioral healthServices billed with the following revenue codes always
require prior authorization: The following always require precertification: 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. What is the fax number for Anthem Blue Cross of California?Phone: Call 1‑888‑831‑2246, option 3 and ask for a form to be faxed to you. Fax: Send your request to: 1-800-754-4708. Anthem Blue Cross is the trade name of Blue Cross of California.
What form do providers in California use to request prior authorization?Providers must request CCS services using a SAR form. Note: Providers should verify CCS eligibility before submitting a SAR. Providers are required to submit documentation to substantiate medical necessity at the time the SAR is submitted.
Does Kentucky Medicaid require prior authorization?Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care.
What is the provider phone number for Anthem BCBS of Ohio?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.
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Anthem blue cross prior authorization fax number
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