Anthem Online Provider Services (AOPS)
AOPS is now accessible only through Availity. To enroll, click Register button below. Once registered, choose the My Payer Portals link on Availity to access AOPS.

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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

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Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Billing Guidelines

PW_040321
Ancillary Claim Filing Guidelines Effective October 14, 2012
Ancillary Claim Filing Requirements FAQs – September 2012
BlueExchange Implementation

To coincide with the implementation of HIPAA transactions and code sets, Anthem is implementing BlueExchange to provide added functionality.

Clinical Information Required for Claim Adjudication
HCPCS and CPT Code Requirements for UB-04 Claims
HIPAA Supplemental Billing Guidelines - Professional

These guidelines provide billing offices with information about several significant changes and features of the HIPAA-compliant professional claims transaction (837P)

HIPAA Supplemental Billing Guidelines - Institutional

These guidelines provide billing offices with information about several significant changes and features of the HIPAA-compliant institutional claims transaction (837I)

Frequently Asked Questions Regarding Immunization Services
Independent Laboratory CMS 1500 Claim Filing Requirements Reminder
Individual Authorization Form

Complete this form for release of PHI and clinical information from Provider to Company. If member wishes to disclose clinical information and psychotherapy notes, member must complete both the Individual Authorization Form and Psychotherapy Notes Authorization Form.

Overpayment Recovery Process For MD's, Allieds and Institutional Providers
Psychotherapy Notes Authorization Form

Complete this form for release of psychotherapy notes from Provider to Company. If member wishes to disclose clinical information and psychotherapy notes, member must complete both the Individual Authorization Form and Psychotherapy Notes Authorization Form.

Timely and Accurate Payment for Secondary Payer Medicare Claims
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use