Anthem Online Provider Services
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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
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Search our online provider directory when you need a doctor, hospital or other health care provider.

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Provider Home

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Health Care Reform Updates and Notifications  
2009 Provider Meeting Materials
Meeting materials are now available online.  
Anthem ConditionCare Incentive Program
New Anthem ConditionCare Incentive Program through 360º Health® allows members to save money on certain office visits and related prescription drugs.  
Anthem Online Provider Services
Anthem Online Provider Services makes doing business with us faster and easier than ever. Don’t have an ID and password? Sign up today. Get a sneak peek of our site by viewing our online demo.  
Online Provider Tools
We have created several tools to assist you in identifying our products, filing claims, contacting us, and more! 
Anthem Behavioral Health
Online Behavioral Health content including: Medical Necessity Criteria, Provider Manuals, Clinical Practice Guidelines. Submit electronic OTRs and download commonly requested forms. 
Anthem Network Rapid Updates E-Mail Service
Anthem is excited to offer Anthem Network Rapid Updates for providers. Click here to sign up now! 
National Provider Identifier (NPI) Updates
Effective May 24, 2008, Anthem will begin accepting only National Provider Identifier (NPI) numbers on electronic claims and other transactions requiring a provider number to comply with HIPAA requirements. 
Electronic Data Interchange (EDI) Services
Learn how EDI can be used to submit claims, saving you time and money.  
Web-Based Claims Submission & Electronic Options
MD On-Line, Inc., a leading national clearinghouse, to offer professional providers the ability to exchange secure HIPAA-compliant transactions through a web-based suite of services – 60 Day Free Trial. 
Claim Submission Billing Guidelines
Cultural and Linguistic Provider Resources
The latest tools, training, resources and information to help bridge cultural and linguistic barriers to care.  
Provider Reference Materials:
Administrative Policies, Provider Manuals, Provider Newsletters, Quick Reference Guides, BlueCard Program and Precertification (Prior Authorization) Guidelines. 
Anthem Medical Policies and Clinical UM Guidelines:
Medical Policies and Clinical UM Guidelines  
Clinical Guidelines and Toolkits:
Clinical Guidelines, Cultural Competency Toolkit (Caring for Diverse Populations) and Intimate Partner Violence Toolkit.  
Anthem Pharmacy:
Anthem Drug List/Formulary and Drug List Updates. 
Dental Providers
We understand your time is valuable, so we developed this site to help you access the information you need when you need it. Here, you'll find a one-stop-shop for all things dental.  
DynamicCME  
Our DynamicCME site offers our providers an innovative, highly interactive and free CME Web site for your convenience. The site is designed to provide you state-of-the-art programs to meet your educational needs.  
Anthem Mobile Provider Finder  
Finding information about your doctor or local hospital is now as easy as accessing a link from your Web-enabled cell phone or hand-held device, thanks to Anthem Mobile Provider Finder. Simply visit www.anthem.com/mobile from any Web-enabled device to browse in-network providers by address, city, state, zip code, name, physician specialties, languages spoken & gender.  
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, 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: 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. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use