Provider Reimbursement Policies

X Your browser is not supported. Your dashboard may experience future loading problems if not resolved. Please update your browser if the service fails to run our website.

Pick Your State

Resources for Your State

The resources for our providers may differ between states. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. It looks like you're in . We currently don't offer resources in your area, but you can select an option below to see information for that state. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. We currently don't offer resources in your area, but you can select an option below to see information for that state. You can also visit bcbs.com to find resources for other states.

• California
• Colorado
• Connecticut
• Georgia
• Indiana
• Kentucky
• Maine
• Missouri
• New Hampshire
• Nevada
• New York
• Ohio
• Virginia
• Wisconsin

If your state isn't listed, check out bcbs.com to find coverage in your area.

Skip To Main Content Log In Find Care Menu

• Individual & Family
• Medicare
• Medicaid
• Employers
• Producers
• Providers
• COVID-19 Info

Log In Find Care

• Individual & Family
  • Individual and Family Overview
  • Shop Shop
    • Insurance Basics
    • Health Insurance
    • Vision Insurance
    • Dental Insurance
    • Supplemental Insurance
    • Travel Medical Insurance
  • Care Care
    • What to Know
    • Getting Better Care
    • Find Care
    • Prescription Search
  • Support Support
    • Login
    • Registration
    • Forgot Username or Password?
    • Member Needs
    • Forms
• Medicare
  • Medicare Coverage with Anthem
  • Shop Shop
    • Medicare Coverage with Anthem
    • Medicare Information
    • Medicare Coverage and Enrollment
    • Turning 65
    • Medicare Advantage Plans: Part C
    • Medicare Part D Plans
    • Medicare Supplement Plans (Medigap)
    • Dental and Vision Coverage
  • Care Care
    • What to Know
    • Getting Better Care
    • Find Care
    • Medicare Caregiver Resources
  • Support Support
    • Login
    • Registration
    • Forgot Username or Password?
    • Forms
• Medicaid
  • Medicaid Overview
• Employers
  • Employer Overview
  • Shop Shop
    • Group Health Insurance
    • Health and Wellness
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Absence & Disability Management
    • Supplemental Health Insurance
    • Group Medicare
  • Resources Resources
    • Find Care
    • Go to Blog
  • Support Support
    • Login
    • Registration
    • Forgot Username or Password?
    • Find a Form
    • Dental Prime and Complete Login
    • EasyPay
  • Anthem Life Resources Anthem Life Resources
    • Welcome to Anthem Life
    • Anthem Life - Compassi
    • Secure Employer Access to Claims
    • Submit a Claim
    • MyOnlineBill
• Producers
  • Producers Overview
  • Plans and Services Plans and Services
    • Start Selling Anthem
    • Medical
    • Specialty Benefit Site
    • Life & Disability Insurance
    • Supplemental Insurance
    • Pharmacy
    • Health & Wellness
    • Group Medicare
  • Communications Communications
    • Contact Us
    • News
    • Public Policy
  • Resources Resources
    • Find Care
    • Find a Form
    • Dental Online Services
    • Login
    • Registration
    • Statement of Benefits (SOB)
    • Summary of Benefits and Coverage (SBC)
• Providers
  • Providers Overview
  • Provider Resources Provider Resources
    • Forms and Guides
    • Policies, Guidelines & Manuals
    • Provider Maintenance
    • Pharmacy
    • Behavioral Health
    • Dental
    • Vaccination Resources
    • Find Care
    • Availity, EMR, & Digital Solutions
  • Claims Claims
    • Claims Submission
    • Electronic Data Interchange (EDI)
    • Prior Authorization
  • Patient Care Patient Care
    • Enhanced Personal Health Care
    • Medicare Advantage
  • Communications Communications
    • News
    • Education and Training
    • Contact Us
  • Join Our Network Join Our Network
    • Getting Started with Anthem
    • Credentialing
    • Employee Assistance Program (EAP)
• COVID-19 Info
  • COVID-19 Resource Center

Main Content

We want to help physicians, facilities and other health care professionals submit claims accurately. This page outlines the basis for reimbursement if the service is covered by an Anthem member’s benefit plan. Keep in mind that determination of coverage under a member's plan does not necessarily ensure reimbursement. Industry practices are constantly changing, and Anthem reserves the right to review and revise these policies periodically.

Please Select Your State

The resources on this page are specific to your state. Choose your state below so that we can provide you with the most relevant information.

Select Your State

Ready to become a provider in the Anthem network?

We look forward to working with you to provide quality service for our members.

Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place.

Begin Application

• Privacy
• Legal
• Accessibility
• Nondiscrimination Notice
• Health Care Fraud Prevention

• Medicaid
• Producers
• Employers
• Federal Employees
• Press Room
• Careers

Use the App Let's make healthy happen © 2005 - 2024 copyright of Anthem Insurance Companies, Inc. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., © 2024