anthem payer id for indiana


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PDF IHCP Quick Reference Guide

Anthem Reimbursement Prior Authorization (PA) – Medical and Substance Use Disorder (SUD) Anthem PA 866-408-6132 Fax (Physical Health Inpatient and Outpatient): 866-406-2803 Fax (Behavioral Health Inpatient): 877-434-7578 Fax (Behavioral Health Outpatient): 866-877-5229 Pharmacy Services PBM: IngenioRx Anthem Pharmacy Information

PDF Anthem Blue Cross and Blue Shield Indiana Medicaid Provider

Anthem has been selected by the state of Indiana as one of the Managed Care Entities (MCEs) to provide access to healthcare services for the following programs: • Hoosier Healthwise – the state of Indiana’s Medicaid program separated into Package A for children and pregnant members and Package C for children under age 19 •

PDF 2021 claims 101

Anthem Blue Cross and Blue Shield (Anthem) provider files must match Indiana’s provider information This is a three-step process: Submit all accurate provider updates to Indiana Health Coverage Programs (IHCP) by visiting www in gov/medicaid/providers or by calling IHCP Provider Services at 800-457-4584

  • What information is included in anthem's provider manual?

    Anthem’s provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies.

  • How does IHCP submit information to anthem?

    After IHCP uploads the information, the provider will submit the information to Anthem using the online Provider Maintenance Form (PMF). When Anthem receives the online PMF, we will verify the information submitted on both the online PMF and the provider healthcare portal.

  • How do I submit an anthem Provider File?

    Anthem provider files must match Indiana’s provider information. or by calling IHCP Provider Services at 1-877-707-5750. For more information, please refer to the IHCP provider reference modules. After IHCP uploads the information, the provider will submit the information to Anthem using the online Provider Maintenance Form (PMF). 3.

  • Do I need a prior authorization (PA) from anthem?

    If one physician is on call or covering for another, the billing provider must complete Box 17b of the CMS-1500 claim form to receive reimbursement. If you are a non-contracted provider, you need to obtain prior authorization (PA) from Anthem before you provide services to our members.

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