Anthem Blue Cross : Information for Members

Information for Members

Member Services  
Log in to access information about your Dental Prime or Complete plan.  
Dental Prime and Complete Member Forms  
Extra Cleaning Form for Pregnant and Diabetic Members
Dental Claim Form
Authorization to Release Information
Authorization to Release Information - Spanish
International Emergency Dental Program Frequently Asked Questions
Emergency Dental Treatment for the International Traveler
Disabled Dependent/Michelle’s Law
Provider Nomination Form
Dental Prime and Complete Contact Information  
Contact us at 877-567-1804.  

® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2015 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.