Anthem BlueCross of California
Access your personalized employer services.
Groups of 2-50
Groups of 51+
Find a Doctor
Need to find a Doctor or Hospital? Check the Online Provider Directory.
A total-health solution that surrounds everyone with the help they need to live healthier, feel better and save money doing it.
Anthem Blue Cross : Dental Prime and Complete Employer Services
Dental Prime and Complete Employer Services
Post-sale questions? Call
, a division of Customer Service, at 877-567-1799. Press 1 for Billing, 2 for Enrollment, 3 for Group Administrator Help Line.
Dental Prime and Complete Employer Tools
(log on to access online enrollment and billing reports)
Group Implementation & Enrollment
Group Master Application (for groups 2-50)
Sold Case Checklist (for groups 2-50)
Census Enrollment Spreadsheet
Dual Option Dental Enrollment Verification Form
Group Administration Manual
Member & Group Forms
Membership Enrollment Form
Membership Enrollment Form – Spanish
Membership Enrollment Form – Chinese
Membership Enrollment Form – Vietnamese
Membership Maintenance Form
Authorization to Release Information
Authorization to Release Information - Spanish
HIPAA Designated Contact Form
Disabled Dependent/Michelle’s Law Application
Cal-COBRA Continuation Coverage Election Form (for groups of less than 20)
Additional Benefits Forms
International Emergency Dental Program Flier
International Emergency Dental Program Frequently Asked Questions
Extra Cleaning Sign-Up Form For Diabetic and Pregnant Members
Online Enrollment User Request Form
Billing Reports Online User Request Form
Billing Reports Online Change Request Form
Group Billing Forms
Monthly Fully Insured Billing Schedule
Weekly ASO Billing Schedule
Automated Fully Insured ACH Authorization Form
Automated ASO ACH Authorization Form
® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2011 Anthem Blue Cross.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.