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

Contact Us

PW_014969
 
E-mail Links
Addresses
Provider Maintenance Form (PDF)
 
Below is a list of telephone numbers for our various provider call centers as well as other commonly used telephone and fax numbers. If you cannot find what you are looking for on Availity’s Web Portal, use this guide to determine the appropriate provider service center for your inquiries. 
In order to help ensure that your inquiries are tracked and responded to timely, all inquires must be made to Provider Service or through Availity. If you wish to speak with someone directly please contact the appropriate Provider Service number listed below.  
 

Provider Service Centers Hours of Operation Telephone Numbers Member ID Number Prefixes Handled by Service Center
Provider Service
(local Anthem plans) 
8:00 a.m. - 5:00 p.m., Monday - Friday
(IVR available 24/7) 
(800)832-6011 
XVA, XVB, XVF, XVG, XVH, XVI, XVP 
Health Insurance Exchange Provider Call Center (eligibility, benefits and claims questions for Health Insurance Exchange plans) 
8:00 a.m. - 6:00 p.m., Monday - Friday 
(IVR available 24/7) 
(855)854-1438 
VBA, VBC, VBD, VBE, VBF, VBG, VBH, VBI, VBJ, XVN, XVO 
New England Health Plan (NEHP) and *Empire HMO plans 

Claim inquiries
 

8:00 a.m. - 5:00 p.m., Monday - Friday
(IVR available 24/7) 

(888)567-1834
 
CTN, CTP, EHF, EHG, EHH, EHJ, MEN, MEP, MTN, MTP, NHN, NHP  
*Empire prefixes - BJY, YLF, YLL, YLQ 
Eligibility and benefits 
8:00 a.m. - 5:00 p.m., Monday - Friday 
(800)676-BLUE (2583) 
Tri-state 
Anthem plans in Connecticut, Maine and New Hampshire utilize the same membership and claims systems, therefore, inquiries for Connecticut and New Hampshire members are considered local or ‘tri-state’ inquiries. Please contact the following numbers for the specified prefixes. 
Anthem Connecticut (tri-state) 
   
XG**, ATM, CKC, HJB, INF, LBG, LGI, LOS, MCK, MGG, OTW, PHT, TLD, TUV, URI, URR 
**third alpha character will vary 
Professional 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
(800)922-3242 
Institutional 
8:00 a.m. - 5:00 p.m. 
Monday - Friday 
(IVR available 24/7) 
(800)345-2227 
Anthem New Hampshire (tri-state) 
8:00 a.m. - 5:00 p.m. 
Monday – Friday 
(IVR available 24/7) 
(800)332-6558 
YGA, YGC, YGF, YGG, YGK, YGM 
BlueCard® Service Center
Claim inquiries
 

8:30 a.m. - 5:00 p.m., Monday - Friday 
(IVR available 24/7) 

(877)795-1881
 
All prefixes not listed elsewhere in this grid 
Eligibility and benefits 
8:00 a.m. - 5:00 p.m., Monday - Friday 
(800)676-BLUE (2583) 
Federal Employee Program® (FEP) 
Mon, Tues, Wed, Fri:
8:00 a.m. - 5:30 p.m. Thurs - 9:00 a.m. - 5:30 p.m.
(IVR available 24/7) 
(800)722-0203 
R (followed by 8 digits) 
Medicare Advantage 
varies 
see member’s ID card  
varies 
MediBlueSM HMO 
8:00 a.m. - 8:00 p.m. 
Monday - Friday 
(866)673-4157 
XGH, YGS 
Taft-Hartley / Teamsters 
8:00 a.m. - 5:00 p.m. Monday - Friday 
(888)287-0032 
CCU, ELH, IUP, NEF, NEH, PSH, PTH, SVL, TLH, TSJ, NIW, CWV, IRU, IUB, EWU 

Technical Support  
Availity 
(800)282-4548 
Electronic Data Interchange (EDI) 
Enrollment and testing for EDI services 
Transmission or connection support for EDI services 
 
(800) 334-8262 
(207) 822-8385 

AIM Specialty HealthSM  
Prior authorization and pre-certification for non-emergency advanced imaging, cardiac imaging, sleep management, radiation therapy, specialty pharmacy 
(866) 714-1107  

Provider Credentialing  
Credentialing/recredentialing for medical professionals 
(800) 832-6011  
Status of application for participation  
(800) 832-6011  

Medical Management
(800) 392-1016 (8:00 am – 5:00 pm)  
Case Management 
(800) 231-2398  
BlueCard (ask to be transferred to utilization review) 
(800) 676-BLUE (2583)  

Federal Employee Program Medical Management
Precertification (acute inpatient admissions, concurrent review and outpatient cardiac rehabilitation) 
(800) 860-2156
Fax: (800) 732-8318
 
Case management 
(800) 711-2225 Fax: (800) 732-8318 
Transplant prior approval (except bone marrow) 
(800) 824-0581 (option 2) 
Bone marrow transplant 
(800) 225-2268 

Behavioral Health Services (clinical authorization)
Anthem Behavioral Health (Anthem Blue Cross and Blue Shield and FEP members) 
(800) 755-0851  
Behavioral HealthCare Program (MaineHealth enrollees) 
(800) 538-9698 
 
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. 
 
©2005-2014 copyright of Anthem Insurance Companies, Inc.

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