Anthem Blue Cross and Blue Shield
Also covers / subsidiaries: Anthem, Anthem BCBS, Anthem Blue Cross
Core Payer & Clearinghouse Profile
Electronic Payer ID
47198
Anthem operates across 14 states (CA, CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA, WI) and each state plan uses a different payer ID (e.g. 47198 for Anthem Blue Cross CA). Confirm the state-specific ID against the member card and your clearinghouse.
Timely Filing Limit (TFL)
Commonly 90 days from date of service for commercial/MA professional claims per Anthem policy; Medicaid differs by state
Appeal Window
File via Availity or by mail to the state-specific Appeal Unit. Address and timeframe vary by state/plan
Clearinghouse Gateway
Availity (Anthem's exclusive EDI/clearinghouse partner)
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.availity.com
Multi-state Blue plan; provider phone, claims address, payer ID, and appeal address all vary by state and are printed on the member ID card.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Anthem Blue Cross and Blue Shield.
Resolution Tools for Anthem Blue Cross and Blue Shield Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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