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Important Updates:
Health Care Reform Updates and Notifications

Learn about the many ways health care reform will impact providers. New information is added regularly.

Anthem now available on Availity 
Sign up for Availity to access information from multiple payers, including Anthem Blue Cross and Blue Shield. With a single sign-on, you are able to check eligibility, claims, and more. It’s easy to register: Go to www.availity.com or contact your local eBusiness consultant at central.eprovider.rep@anthem.com 
Self-Service and Support
Network Orientation
Credentialing Process
Customized Claim Edits
Electronic Data Interchange (EDI)

Live Chat

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.

Clinical Data Submission Tools
EFT (Electronic Finance Transmission) Form
Imaging & Optinet Quick Reference Guide
Medical Policies and Clinical UM Guidelines
Pharmacy Precertification
Provider Adjustment Form
Provider Appeal
Provider Maintenance Form
Radiology/Cardiology Alpha Precertification List
Radiology/Cardiology CPT Code List
eSolutions
Precertification Guidelines
Quality
Behavioral Health Medical Necessity Criteria
Ohio Provider Manual
Dental Providers
Blue View Vision Directory Search
Routine Vision Benefits Summary Page
 
Communication and Updates
Recent Rapid Updates

(Latest information on new initiatives, reimbursement/fee policy changes, medical policy changes, process changes, upgrades to e-tools)

Network Update

(Bimonthly newsletter for providers and their office staff)

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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