Anthem Medicare Advantage
Also covers / subsidiaries: Anthem, Anthem Blue Cross, Elevance Health
Core Payer & Clearinghouse Profile
Electronic Payer ID
47198
Anthem (Elevance Health) administers Blue Cross MA plans in multiple states; payer ID varies by state/Blue plan and the member's alpha prefix.
Timely Filing Limit (TFL)
Per provider contract; verify against your contract and the member's plan
Appeal Window
Medicare Advantage appeals follow CMS Part C rules (commonly 60 days from the denial/organization determination)
Clearinghouse Gateway
Availity
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.anthem.com/provider/
Anthem (an Elevance Health company) offers Blue Cross MA plans across many states. Payer IDs vary by state — verify by member prefix.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Anthem Medicare Advantage.
Resolution Tools for Anthem Medicare Advantage 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.
Tired of Chasing Anthem Medicare Advantage Denials & Delayed Payments?
Aethera's billing specialists work Anthem Medicare Advantage every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.