Find the right department

Center phone/address on the Element Care PACE locations list. The page notes alternative care sites offer more limited services than a full PACE center.

Center phone/address on the Element Care PACE locations list. The page notes alternative care sites offer more limited services than a full PACE center.

Amerigroup Community Care local office (Atlanta).

Prior authorization/notification, member eligibility, claims information, behavioral health, interpreter and pharmacy services, case management and general inquiries. After hours: 24-hour Nurse HelpLine 1-800-600-4441. Availity Essentials recommended for claims status/eligibility/disputes.

Blue Access, Blue Preferred, Blue Traditional and HealthSync HMO/POS: eligibility, benefits, claim status.

FEP preapproval and peer-to-peer phone; prior auth fax. FEP case management 800-711-2225.

FEP (R prefix) eligibility, benefits, high-level claim status. FEP claims/appeals: P.O. Box 105557, Atlanta, GA 30348-5557.

Medicare Supplement eligibility, benefits, claim status. Appeals fax 888-859-3046; no preapproval for Medicare supplement plans.

Technical help for the Carelon web ordering portal (not clinical review).

Request peer-to-peer review of Anthem commercial/MA utilization decisions.

Commercial and exchange provider appeals. Online Payment Appeal tool in Availity is an alternative.

Medical preapproval including retrospective reviews (other than radiology) for Anthem commercial local products in Missouri and Indiana (Central Region). Availity is preferred.

Paper medical claims for Anthem commercial/exchange/Medicare products in Missouri and Indiana per the quick contact guides. Electronic submission via Availity preferred.

Radiology preapproval for Anthem commercial (Central Region).

Recovery phone and refund lockbox for returning overpayments on Anthem commercial (Central Region).

Anthem Blue Cross and Blue Shield Missouri (RightCHOICE/HALIC/HMO Missouri; excludes the 30-county Kansas City area served by Blue KC). Use the number on the member ID card first; Availity chat available.

Anthem Missouri Medicare Advantage HMO and D-SNP only.

Anthem Missouri Medicare Advantage provider services; use the ID card number first. HMO/D-SNP has a separate number (855-251-8826).

Elevance/Anthem EDI help desk for getting started with electronic transactions; listed for Anthem Missouri, Healthy Blue MO and Anthem Indiana Medicaid. Email from the 2021 Missouri contact sheet.

Written claim payment appeals with EOP and claim copy; disputes also via Availity.

Medical (medical necessity) appeals in writing.

Paper claims for Anthem Nevada Medicaid/Check Up; electronic claims via Availity or clearinghouse with Payer ID 00265. Timely filing 180 days from DOS (365 for out-of-state/emergency transportation). Provider Services 844-396-2330 handles claim status.

Seen on Nevada Medicaid contact-info page (portaluat.medicaid.nv.gov, the state's UAT host).

Blue View Vision provider services. | Blue View Vision provider services for Anthem plans.

Out-of-area Blue plan members seen in Ohio; eligibility/preapproval route to the home plan. | Out-of-area (non-Indiana) Blue plan members: provider service and claim status. Eligibility/preapproval route to the home plan via 800-676-2583.

Carelon precert for Ohio commercial: cardiology, chemo, genetic testing, high-tech radiology, MSK/pain, radiation oncology, rehab, sleep, upper GI endoscopy. Web help desk 800-252-2021. | Carelon (formerly AIM Specialty Health) utilization review for Anthem commercial/Medicare Advantage. Web help desk is 800-252-2021.

Behavioral health UM/CM for Ohio local commercial products. | Behavioral health preapproval for Anthem commercial (Central Region).

Commercial case management referrals (Central region). Behavioral health 866-582-2293; transplant 800-824-0581; autism 844-269-0538. | Commercial case management referrals.

Anthem dental provider services listed in the Ohio quick contact guide. | Anthem dental provider services (current Indiana guide; also on the 2021 Missouri sheet). Missouri commercial QCG says to use the ID card number.

DMAS lists MCO contact for post-enrollment inquiries; not necessarily provider services desk.

CarelonRx pharmacy contact for HealthKeepers Plus.

Case and utilization management contact for HealthKeepers Plus.

EDI enrollment and electronic transaction support.

Expedited medical authorization requests.

Medical prior authorization request forms for inpatient services.

Long-term services and supports authorization requests.

LTSS providers after DMAS/PRSS enrollment. Practitioner credentialing questions: credentialing@anthem.com.

Medical injectable drug prior authorization forms.

Medical prior authorization request forms for outpatient services.

Paper claims mail drop VA2000S110.

Retail pharmacy prior authorization forms.

Cardinal Care Medicaid/FAMIS provider services: benefits/eligibility, claims, pharmacy, prior authorizations, behavioral health, interpreter services and network reps. Also the case management referral line.

Behavioral health inpatient PA fax for HIP, Hoosier Healthwise and Hoosier Care Connect; outpatient BH fax listed as 866-877-5229. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Behavioral health inpatient prior authorization.

Behavioral health outpatient PA fax. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Behavioral health outpatient prior authorization.

Behavioral health prior authorization requests fax (Indiana PathWays for Aging per contact page).