Anthem BlueCross of California
Access our secured site to check eligibility, claims, certifications, and much more
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.
Anthem Blue Cross : Supplemental Education Materials (SEMs)
Supplemental Education Materials (SEMs)
Click on the desired title. The SEM will display in pdf format, which can be printed or saved to your computer.
NOTE: These SEMs are updated periodically. The revision date of the document is included in the link name. Please make sure you have the most current version.
Anthem Blue Cross Provider Contacts - April 2013
California Network Relations – January 2012
ProviderAccess Navigation – May 2013
Pre-Service Review – October 2012
IVR / FAX Back – January 2012
RA-Overpay Adjustments – January 2012
EOB-Overpayment Adjustments – January 2012
Overpayment Recovery Notification Process – January 2012
ID Cards – Eligibility Verification – May 2012
Out-of-State [BlueCard] – April 2013
Claim Re-Process / Inquiry Request – or – Provider Dispute Resolution – November 2012
Provider Network Education – January 2012
OverPayment Adjustment Withhold Report-ProviderAccess – January 2012
Key Steps to Provider Dispute Resolution – April 2013
Timely Filing Acceptable Forms of Proof – January 2012
Online Provider Remit – January 2012
Medical Referrals & Pre-Authorization Inquiry – January 2012
Medical Referral & Prior Authorization Process – February 2013
Availity Frequently Asked Questions – May 2012
Electronic Self-Service Options - September 2012
OptiNet® Assessment Tool for Sleep Management Frequently Asked Questions (FAQs) - September 2012
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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.