Find the right department

Carelon utilization management for Indiana Medicaid programs (HIP, HHW, HCC, PathWays).

Case management referrals and Right Choices (lock-in) program. Anthem page says option 2 with fax 855-417-1289; the IHCP quick reference guide says option 1 with fax 866-387-2959, so no fax or menu option is recorded here.

Credentialing line on the Anthem Indiana federal/state plans contact page (the existing directory line labels this number a provider helpline).

Dental line for Healthy Indiana Plan, Hoosier Healthwise and Hoosier Care Connect. PathWays LTSS dental: 866-291-3762.

DentaQuest (dental benefit manager) fax for Anthem Indiana Medicaid; phone 855-453-5286. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Grievances and appeals fax for Hoosier Healthwise, HIP and Hoosier Care Connect (phone = each program provider services line).

HIP provider questions and claims issues; also UM/BH/pharmacy PA by phone.

Hoosier Care Connect (aged/blind/disabled) provider questions and claims issues; also UM/BH/pharmacy PA by phone.

Provider questions and claims issues for Hoosier Healthwise; also UM, behavioral health and pharmacy prior authorization by phone. 8 a.m.-8 p.m. ET.

Paper claims for HIP, Hoosier Healthwise, Hoosier Care Connect and PathWays for Aging (LTSS). Overpayment recovery: P.O. Box 92420, Cleveland, OH 44193.

Concurrent review for inpatient, SNF, LTACH and acute inpatient rehab — Indiana PathWays for Aging. Dual Care uses 877-423-9972.

Concurrent review for inpatient/SNF/LTACH/rehab — PathWays for Aging Dual Care (D-SNP).

Physical health and outpatient PA fax for Indiana PathWays for Aging Dual Care (D-SNP).

Pharmacy line for Indiana PathWays for Aging (LTSS); the IHCP quick reference guide lists it as CarelonRx help for pharmacists.

Indiana PathWays for Aging (LTSS, 60+) and PathWays for Aging Dual Care (HMO D-SNP) provider services and PA by phone.

Outpatient services such as DME, pain management, home health, orthotics, formula, PT/OT/ST — Indiana PathWays for Aging.

Physical health inpatient and outpatient PA fax for Indiana PathWays for Aging; the contact page also lists this fax for the HHW/HIP/HCC provider helpline.

Provider disputes and appeals for HIP, Hoosier Healthwise, Hoosier Care Connect and PathWays for Aging LTSS.

Nov 2025 IHCP bulletin; older bulletins list different numbers. PathWays 833-569-4739.

Superior Vision (vision benefit manager) for Anthem Indiana Medicaid programs. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Inpatient/outpatient surgeries preapproval for Indiana PathWays for Aging Dual Care (HMO D-SNP). CM: 833-607-6515.

Credentialing and contracting for Anthem Indiana PathWays for Aging. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Anthem MediBlue Access PPO, MediBlue Plus HMO, MediBlue Dual Advantage (HMO SNP): eligibility, benefits, claims and precert/predetermination (use this number). | Anthem MediBlue Access/Plus/Dual Advantage (all prefixes). Post-acute line 844-411-9622. MA appeals: Mailstop OH0205-A537, 4361 Irwin Simpson Rd., Mason, OH 45040.

BH inpatient precertification.

BH outpatient precertification.

Hospital provider relationship account managers: East team option 3 then 1; West team option 3 then 2.

Medical injectables PA fax.

IVR available around the clock.

Retail pharmacy PA fax.

Radiology prior authorization partner for Anthem Nevada Medicaid.

Call after a specialty-drug PA approval notice to schedule delivery (most specialty prescriptions moved to BioPlus/CarelonRx July 1, 2025).

Vision services partner for Anthem Nevada Medicaid.

Medical injectable (medical-benefit drug) prior authorization fax requests.

Fax for pain management, home care, home infusion or hyperbaric treatment and wound care requests handled by the Pharmacy department.

Retail (pharmacy-benefit) prior authorization fax requests; ePA also accepted. Pharmacy department phone 1-844-396-2330, 8 a.m.-7 p.m. M-F and 10 a.m.-2 p.m. Saturday.

Consumer-driven / high-deductible health plans (Ohio local products).

Ohio local commercial, Exchange and Medicare Supplement/group appeals address. Urgent appeals fax 800-368-3238.

Demographic, admit and discharge dates. Inpatient clinical reviews: OHConcurrentClinicalReview@anthem.com; outpatient: OHPreServiceClinicalReview@anthem.com.

Preapproval including retrospective reviews (other than radiology) for Ohio local commercial products; Carelon manages cardiology, imaging, MSK, radiation oncology, sleep, genetic testing etc. Peer to peer 888-870-9342; spinal P2P 888-236-2984.

Eligibility, benefits, claim status, claim appeals for Anthem Blue Cross and Blue Shield Ohio local commercial products. CDHP/HDHP plans: 888-224-4902.

Urgent appeals only.

Behavioral health care management referrals.

Behavioral health only, inpatient PA/notification fax.

Behavioral health only, outpatient PA/notification fax (use forms on providers.anthem.com/oh). Children in OhioRISE get BH through Aetna Better Health of Ohio.

Peer-to-peer review for behavioral health determinations.