Provider Manuals | Anthem.com

Health insurance can be complicated. We strive to make working with Anthem easy so that you can focus on providing excellent care to your patients. As part of that goal, we provide you with resources containing information to help your relationship with us run as smoothly as possible.

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If you have any questions about the information in the Provider Manual, please contact your Network Consultant . Some policies or procedures may have changed since the time of publication. In the event of a conflict between this manual and your contract, the terms of your contract will supersede the manual. You can also access previous versions of these and other manuals.

Professional Manual

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Professional Manual

Effective October 1, 2024

Facility Manual

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Facility Manual

Effective October 1, 2024

Provider Manual Library

Click the title of the manuals below to download a PDF copy of that manual.

Manuals 1- 5 / 5

Anthem Blue Cross and Blue Shield Facility Provider Manual

Effective Tue Oct 01 15:39:38 UTC 2024

Historical Versions

Effective Thu Aug 01 15:39:38 UTC 2024 - Mon Sep 30 15:39:38 UTC 2024
Effective Mon Jul 01 16:12:50 UTC 2024 - Wed Jul 31 15:39:38 UTC 2024
Effective Fri Dec 01 07:22:18 UTC 2023 - Sun Jun 30 16:12:50 UTC 2024
Effective Sat Jul 01 07:22:18 UTC 2023 - Thu Nov 30 07:22:18 UTC 2023
Effective Wed Jun 01 15:06:10 UTC 2022 - Fri Jun 30 07:22:18 UTC 2023
Effective Thu Jul 01 15:06:10 UTC 2021 - Tue May 31 15:06:10 UTC 2022
Effective Wed Oct 23 15:06:10 UTC 2019 - Wed Jun 30 15:06:10 UTC 2021
Effective Fri Aug 23 00:00:00 UTC 2019 - Tue Oct 22 15:06:10 UTC 2019
Effective Wed May 01 00:00:00 UTC 2019 - Thu Aug 22 00:00:00 UTC 2019
Effective Sun Apr 01 00:00:00 UTC 2018 - Tue Apr 30 00:00:00 UTC 2019
Effective Thu Feb 01 00:00:00 UTC 2018 - Sat Mar 31 00:00:00 UTC 2018
Effective Thu Sep 21 00:00:00 UTC 2017 - Wed Jan 31 00:00:00 UTC 2018
Effective Mon May 01 00:00:00 UTC 2017 - Wed Sep 20 00:00:00 UTC 2017
Effective Fri Apr 01 00:00:00 UTC 2016 - Sun Apr 30 00:00:00 UTC 2017
Effective Sat Aug 01 00:00:00 UTC 2015 - Thu Mar 31 00:00:00 UTC 2016

Anthem Blue Cross and Blue Shield Professional Provider Manual

Effective Tue Oct 01 00:30:41 UTC 2024

Historical Versions

Effective Fri Dec 01 07:36:19 UTC 2023 - Mon Sep 30 00:30:41 UTC 2024
Effective Wed Mar 01 15:31:23 UTC 2023 - Thu Nov 30 07:36:19 UTC 2023
Effective Fri Oct 01 13:00:00 UTC 2021 - Tue Feb 28 15:31:23 UTC 2023
Effective Thu Sep 24 13:00:00 UTC 2020 - Thu Sep 30 13:00:00 UTC 2021
Effective Mon Dec 09 13:00:00 UTC 2019 - Wed Sep 23 13:00:00 UTC 2020
Effective Fri Nov 01 00:00:00 UTC 2019 - Sun Dec 08 13:00:00 UTC 2019
Effective Sun Sep 01 00:00:00 UTC 2019 - Thu Oct 31 00:00:00 UTC 2019

BlueCard Provider Manual

Effective Sat Jan 01 00:00:00 UTC 2022

Historical Versions

Effective Fri Jan 01 00:00:00 UTC 2021 - Fri Dec 31 00:00:00 UTC 2021
Effective Tue Jan 01 00:00:00 UTC 2019 - Thu Dec 31 00:00:00 UTC 2020
Effective Thu Mar 01 00:00:00 UTC 2018 - Mon Dec 31 00:00:00 UTC 2018

Medicaid Provider Manual

Effective Thu Mar 09 00:00:00 UTC 2023

Medicare Advantage Provider Manual

Effective Mon Jan 01 13:00:00 UTC 2024

Historical Versions

Effective Tue Oct 17 09:42:14 UTC 2023 - Sun Dec 31 13:00:00 UTC 2023
Effective Wed Oct 04 00:00:00 UTC 2023 - Mon Oct 16 09:42:14 UTC 2023
Effective Fri Oct 28 00:00:00 UTC 2022 - Tue Oct 03 00:00:00 UTC 2023
Effective Sat Mar 12 00:00:00 UTC 2022 - Thu Oct 27 00:00:00 UTC 2022
Effective Fri Oct 01 00:00:00 UTC 2021 - Fri Mar 11 00:00:00 UTC 2022
Effective Tue Dec 01 13:00:00 UTC 2020 - Thu Sep 30 00:00:00 UTC 2021
Effective Thu Oct 01 13:00:00 UTC 2020 - Mon Nov 30 13:00:00 UTC 2020
Effective Wed Jul 01 00:00:00 UTC 2020 - Wed Sep 30 13:00:00 UTC 2020
Effective Wed Jan 01 13:00:00 UTC 2020 - Tue Jun 30 00:00:00 UTC 2020
Effective Wed Mar 20 11:00:00 UTC 2019 - Tue Dec 31 13:00:00 UTC 2019