Claims overview
File claims simply and easily.
Claims and Availity
Anthem Blue Cross and Blue Shield (Anthem) utilizes Availity, a secure and comprehensive web portal that provides a claims clearinghouse and real-time transactions at no cost to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more!
Claims resources
Claims submissions and disputes
Anthem providers can use Availity to submit claims, check claim statuses, appeal claim decisions, and more.
Reimbursement policies
These policies specify the basic terms for reimbursing services covered under our members’ benefits plans.
Electronic data interchange (EDI)
EDI provides a quick, secure method for exchanging information such as eligibility, benefits, and claim status or submission.
Enrollment and Revalidation Requirements for Anthem Medicaid Participation
To bill for services rendered or to order, prescribe and refer services to Nevada Medicaid recipients you must enroll as a Nevada Medicaid provider and revalidate enrollment timely. This is also true to bill for services rendered or to order, prescribe and refer services to Nevada Medicaid recipients enrolled through a Managed Care Organization (MCO), such as Anthem.
Enrollment and Revalidation Requirements for Anthem Medicaid Participation
Interested in becoming a provider in the Anthem network?
We look forward to working with you to provide quality service to our members.