Anthem Online Provider Services
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If you cannot find what you are looking for on our Online Provider Services Web site, use this guide to determine the appropriate provider service center for your inquiries. 

Provider Service Centers
Hours of Operation Telephone Numbers Member ID Number Prefixes Handled by Service Center
Provider Call Center (local Anthem plans) 
Professional 
Eligibility, benefits and claims 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
1-800-922-3242 
XG*, CKC, OTW, PHT, PRG, URR 
*third alpha character will vary  
Institutional 
Eligibility, benefits and claims 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
1-800-345-2227 
Medical Management 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
1-800-238-2227 
Provider Call Center (for inquiries about small group and individual Plans sold on the Health Insurance Exchange that are supported by the Pathway X, Pathway X Enhanced, Pathway X HMO and Pathway X PPO provider networks. Plan names include one of these identifiers: Gold, Silver or Bronze.) 
Eligibility, Benefits and Claims 
8:00 a.m. - 6:00 p.m., Monday - Friday 
(IVR available 24/7) 
1-855-854-1438 
VHA, VHC, VHE, VHF  
Medical Management 
8:00 a.m. - 5:00 p.m.  
Monday - Friday 
1-800-238-2227 
Provider Call Center (for inquiries about small group and individual Plans sold off the Health Insurance Exchange that are supported by the BlueCare and Century Preferred provider networks. Plan names include one of these identifiers: Premium, Preferred, Essential or Core.) 
Eligibility, Benefits and Claims 
8:00 a.m. - 6:00 p.m. Monday – Friday 
(IVR available 24/7) 
1-855-854-1438 
XGV, XGZ, VHB, VHD 
Medical Management 
8:00 a.m. - 5:00 p.m.  
Monday - Friday 
1-800-238-2227 
New England Health Plan (NEHP) and **Empire HMO plans 
Eligibility and benefits 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
1-800-676-BLUE (2583) 
CTN, CTP, EHF, EHG, EHH, EHJ, MEN, MEP, MTN, MTP, NHN, NHP 
**Empire prefixes – POP, POS, YLF, YLL, YLQ 
Claim inquiries 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
1-800-238-2465 
Medical Management 
8:00 a.m. - 5:00 p.m. 
Monday - Friday  
1-800-238-2227 
Tri-state 
Anthem plans in Connecticut, Maine and New Hampshire utilize the same membership and claims systems, therefore, inquiries for Maine and New Hampshire members are considered local or ‘tri-state’ inquiries. Please contact the following numbers for the specified prefixes. 
Anthem Maine (tri-state)  
8:00 a.m. - 5:00 p.m. Monday - Friday
(IVR available 24/7) 
1-800-832-6011 
XVA, XVB, XVG, XVH, XVP  
Anthem New Hampshire (tri-state) 
8:00 a.m. - 5:00 p.m. 
Monday – Friday 
(IVR available 24/7) 
1-800-332-6558 
YGA, YGC, YGF, YGG, YGK, YGM 

BlueCard® Service Center 
Eligibility and benefits 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
1-800-676-BLUE (2583)
 
All prefixes not listed elsewhere in this grid 
Claim Inquiries 
8:30 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
1-800-895-9915 
Precertification 
 
1-800-676-BLUE (2583) Option 4 
Taft-Hartley / Teamsters 
Eligibility, benefits and claims 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
1-888-287-0032 
CCU, CWV, ELH, EWU, IRU, IUB, IUP, NEF, NEH, NIW, PSH, PTH, SVL, TLH, TSJ 
Precertification 
 
See member’s ID card 
Federal Employee Program® (FEP) 
Eligibility, benefits and claims 
Mon - Wed., Friday,
8:00 a.m. - 5:30 p.m.
Thursday, 9:00 a.m. - 5:30 p.m. 
(IVR available 24/7) 
1-800-438-5356 
R (followed by 8 digits) 
Advance benefit determination 
8:00 a.m. - 7:00 p.m. 
Monday - Friday 
1-800-860-2156 
Fax 1-877-606-3807 
Transplant prior approval (including bone marrow) 
8:00 a.m. - 4:30 p.m. 
Monday - Friday 
1-800-688-1019 
Fax 1-800-447-5523  
Precertification (acute inpatient admissions, concurrent review & outpatient cardiac rehabilitation  
8:00 a.m. - 7:00 p.m. 
Monday - Friday 
1-800-860-2156
Fax 1-800-732-8318 
 
Case management 
8:00 a.m. - 7:00 p.m. 
Monday - Friday 
1-800-711-2225  
Fax 1-877-276-1608 
MediBlueSM HMO 
Eligibility, benefits and claims 
8:00 a.m. - 8:00 p.m. 
Monday - Friday 
1-866-673-4157 
XGH 
Precertification 
 
1-877-657-6115 

MediBlueSM PPO 
Eligibility, benefits and claims 
8:00 a.m. - 8:00 p.m. 
Monday - Friday 
1-866-673-4157 
XGK 
Precertification 
 
1-877-657-6115 
Medicare Advantage other HMO and PPO plans throughout the United States 
varies by state 
see member’s ID card  
varies by state 

Technical Support Telephone Numbers
Password changes or requests
Online Provider Services navigation questions
Transmission or connection support for EDI services
Anthem Online Provider Services (AOPS) 
1-866-755-2680 
Availity  
1-800-282-4548 
1-800-334-8262 
Or EDI.ENT.Support@anthem.com 

Other Provider Call Centers Telephone Numbers
Anthem Behavioral Health  
1-800-934-0331 
Anthem Dental 
1-800-548-0642 
Anthem Vision 
1-888-799-6290 
AIM Specialty Health 
1-866-714-1107 
OrthoNet (PT, OT authorizations) 
1-888-788-0807 

Professional Provider Relations
For professional providers contracted directly with the Connecticut Anthem Blue Cross and Blue Shield plan. Providers who are not participating or are contracted with a different Blue Cross and Blue Shield plan should contact the appropriate Provider Call Center for assistance. Participating Connecticut providers click here for a complete list of Professional Provider Network Relations Consultants’ territories by town. 

Professional Provider Relations Consultants  
Shannon Dill 
203-677-8054 
Haydee Garayua  
203-677-8057 
Lilliam Garayua  
203-677-8058  
Jacqueline Hillman  
203-677-8059 
Debi LeVesque 
203-677-8293 
Internal Professional Relations Network Management Representative  
Michele Baksa (professional contracting inquires)   
203-677-8045 
 

Institutional Provider Relations
Click here for a complete list of Institutional Network Relations Consultants’ territories by facility. 

Institutional Provider Relations Consultants
Caren Anselmi  
203-677-8043 

Caren.Anselmi@anthem.com 

Irene Netherland  
203-677-8061 

Irene.Netherland@anthem.com 

David Perry  
203-677-8063 

David.Perry@anthem.com 

Karen Yaccarino  
203-677-8071 

Karen.Yaccarino@anthem.com 

Internal Institutional Relations Network Management Representative 
Ann Marie DeSimone  
203-677-8052 
 
Anthem is committed to protecting the integrity of the healthcare system we serve through the detection and prosecution of those parties responsible for Fraud against Anthem Inc. and its affiliated companies. 
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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