Anthem Insurance Member & Provider Services
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Questions and Answers

Which entity administers claims on behalf of Anthem Blue Cross Life and Health Insurance Company?

  • Vision Customer Service
  • Blue Shield Plan
  • Blue Cross of California (correct)
  • Anthem Member Services

Possession of the card guarantees eligibility for benefits.

False (B)

What should members always include when submitting inquiries?

member number

Providers should include the 3-digit ________ that precedes the patient's identification number on the card.

<p>prefix</p> Signup and view all the answers

Match the following services with their appropriate phone numbers:

<p>Member Services = 1-800-888-8288 Provider Services = 1-800-676-2583 Pharmacy Member Services = 1-833-261-2460 Pre-Authorization Review = 1-800-274-7767</p> Signup and view all the answers

Flashcards

Member Number

The member's unique identifier on their insurance card.

Member Services

Contact information for members to report claims or general inquiries.

Provider Services

Contact information for healthcare providers to submit claims.

3-Digit Prefix

Submission of claims for services requires the provider to include a specific 3-digit code on their billing.

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Anthem's Role

Anthem is an administrative service provider for Blue Cross of California and doesn't directly pay for claims.

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Study Notes

Anthem Information

  • Anthem provides member and provider services.
  • Member inquiries should include member number from card.
  • Card possession does not guarantee benefits.
  • Providers should submit claims to local Blue Cross/Blue Shield Plan.
  • Claims should include the 3-digit prefix from the member's ID.
  • Members can submit claims at anthem.com/ca/submitmyclaim
  • Vision Customer Service: 1-866-723-0515
  • Anthem Blue Cross Life and Health Insurance Company provides administrative services only.
  • Anthem does not assume financial risk or obligation for claims.
  • Blue Cross of California (Anthem Blue Cross) handles claims.
  • Blue Cross of California is not liable for benefits.
  • Independent licensees are part of Blue Cross Association

Contact Information

  • Anthem Member Services: 1-800-888-8288
  • Provider Services: 1-800-676-2583
  • Help for Pharmacists: 1-833-296-5039
  • Pharmacy Member Services: 1-833-261-2460
  • Coverage While Traveling: 1-800-810-2583
  • Pre-Authorization Review: 1-800-274-7767

Vision Claims & Inquiries

  • P.O. Box 8504, Mason OH 45040-7111

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Description

This quiz covers the essential information regarding Anthem's member and provider services, including inquiry procedures, claims submission, and customer service contact numbers. Understanding how to navigate Anthem's services will assist members and providers in accessing benefits and support effectively.

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