It’s not too late! Register for Availity today.
On January 18, 2015, online member eligibility, benefit and claim status inquiries will only be accessible by logging in using your Availity credentials. Visit Frequently Asked Questions about Availity for more information and how to register for continued access to this information.
Reimbursement for Professional Vision Services
Anthem Blue Cross and Blue Shield Medicaid (Anthem) utilizes the diagnosis code to properly process vision claims. Through our claims review analysis, we have identified several claims that have been processed incorrectly.
Pharmacy Formulary Change Notice Effective March 1, 2015
Effective March 1, 2015, the formulary changes outlined in this notice apply to all Anthem Blue Cross and Blue Shield Medicaid patients.
PCP Rate Increase Decommissioning
Effective for dates of service on or after January 1, 2015, Anthem will no longer provide increased reimbursement to Medicare levels for primary care services. We will continue to reimburse qualified providers and qualified services provided in 2013 and 2014 in accordance with the requirements of the ACA.