Forms

Title	HTML	Menu	Approval Status	Market
The Anthem Network	Join Our Network	1.1	Approved	California
Prior Authorization & Claims	Request Prior Authorization Prior Authorization Lookup Tool Submit Claims & Appeals Electronic Data Interchange (EDI) Medicaid Reimbursement Policies MMP Reimbursement Policies	2.1	Approved	California
Member Eligibility & Benefits	Eligibility Roster & Capitation Reports Plan Information Pharmacy Benefits	3.1	Approved	California
Provider Support	Helping Members Disease Management Useful Health Information TeleHealth Live Patient Consultations Health Education Programs Staying Healthy Assessment Prenatal Resources Language Assistance Program Free Interpreting Services EPSDT Tobacco Cessation Health Home Safe Choice Program Education & Resources Continuing Medical Education Communications & Updates Manuals, Training & more Forms Quality Assurance Quality Improvement Program Behavioral Health Clinical Practice Guidelines Preventive Healthcare Guidelines Find a Doctor	4.1	Approved	California
The Anthem Network	Join Our Network	1.1	Approved	Indiana
Prior Authorization & Claims	Prior Authorization Prior Authorization Lookup Tool Submit Claims & Appeals ICD-10 Electronic Data Interchange (EDI) Reimbursement Policies	2.1	Approved	Indiana
Member Eligibility & Benefits	Member Eligibility Program Information Pharmacy Benefits	3.1	Approved	Indiana
Provider Support	Education & Resources Communications & Updates Manuals, Training & more Improving the Patient Experience CME Anthem Indiana Medicaid Academy Quality Assurance Quality Improvement Program Preventive Healthcare Guidelines Behavioral Health CPG Helping Members Disease Management Useful Health Information Member & Health Education EPSDT Cultural & Linguistic Resources Maternal Services Forms Find a Doctor	4.1	Approved	Indiana

Provider Support

Preventive Care Forms