Anthem Point of Care is a free service provided by Anthem to our participating providers. Here is a list of just some of the features and information that can be made available to you when you register for Point of Care:
View a comprehensive list of policy members having claims on file and individual claim data in detail.
Retrieve eligibility information for PAR, PPO, POS, HMO and Medicaid HMO policyholders. Providers may also request eligibility data on patients covered through the Federal Employee Program and the BlueCard® Program.
Review in detail benefits available for a patient, including copay and deductible information.
Primary Care Physicians can submit referrals (specialty care reviews) and fax referral information to specialists and hospitals.
Hospitals and specialists can view referrals for their patients.
Hospitals and admitting physicians can submit requests for admission reviews.
Utilization Review/Case Management Departments and attending physicians can update clinical information and ask for extension of hospital stays.
View authorizations of outpatient procedures (health services reviews).
Providers can determine whether or not a prior authorization (health services review) is required for an outpatient procedure.
Submit a 151 adjustment request form electronically and receive an answer within five to 10 business days.
View Weekly Payment Vouchers, PCP Member Reports, Error Notifications and other relevant reports.