Anthem Blue Cross (California) at a glance
| Legal name | Anthem Blue Cross of California |
|---|---|
| Also known as | Anthem BC CA, Anthem California |
| Category | BCBS affiliate |
| Parent organization | Elevance Health |
| Claims payer ID | 47198 — registry reference; verify the member product, transaction and clearinghouse |
| Eligibility (270/271) payer ID | 47198 — registry reference; verify the member product, transaction and clearinghouse |
| ERA (835) payer ID | 47198 — registry reference; verify the member product, transaction and clearinghouse |
| NAIC company code | 47198 |
| States covered | California |
| Members covered | ~8.0 million members |
| Provider resource entry point | https://providers.anthem.com/california-provider |
| Provider phone | 1-855-854-1438 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for Anthem Blue Cross (California)
This registry lists 90 days as an initial-claim reference for Anthem Blue Cross (California). Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 90 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for Anthem Blue Cross (California). Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: Anthem Blue Cross (California) provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Anthem Blue Cross (California)
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify Anthem Blue Cross (California) electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for Anthem Blue Cross (California). Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for Anthem Blue Cross (California)
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Anthem Blue Cross (California) volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 47198 — registry reference; verify the member product, transaction and clearinghouse |
| 270 / 271 eligibility | Listed in registry; verify current scope | 47198 — registry reference; verify the member product, transaction and clearinghouse |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | 47198 — registry reference; verify the member product, transaction and clearinghouse |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
appeal_levels, portal_url
Source comparison: 2026-09-18
The California Medicaid provider site describes a 365-day payment-appeal window from the notice letter and Availity routes. That is not an initial-filing deadline or evidence for all California commercial products. The existing 90-day reference, phone and transaction IDs remain unverified.
Primary source for appeal_levels, portal_url
Not checked in this pass: All fields outside the specifically scoped findings, including legal-entity/NAIC identifiers, current enrollment and geographic coverage; Product-complete initial, corrected, secondary and appeal rules; applicable contracts and exceptions; Transaction-specific payer IDs, ERA enrollment and X12 278 unless explicitly established above; Prior-authorization code samples and current clinical criteria; QuickIntell capability/outcome claims and historical DataForSEO demand values; Accountable whole-record editorial approval (not supplied).
State coverage
Anthem Blue Cross (California) operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for Anthem Blue Cross (California)
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for Anthem Blue Cross (California); verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for Anthem Blue Cross (California); confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for Anthem Blue Cross (California) before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about Anthem Blue Cross (California)
Where is the Anthem Blue Cross (California) provider portal?
Use https://providers.anthem.com/california-provider as a starting point for Anthem Blue Cross (California) provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for Anthem Blue Cross (California)?
This registry lists 90 days as an initial-claim reference for Anthem Blue Cross (California). Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
What is the Anthem Blue Cross (California) payer ID?
Claims: 47198 — registry reference; verify the member product, transaction and clearinghouse. Eligibility (270/271): 47198 — registry reference; verify the member product, transaction and clearinghouse. ERA (835): 47198 — registry reference; verify the member product, transaction and clearinghouse. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does Anthem Blue Cross (California) accept electronic claims?
Verify Anthem Blue Cross (California) electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a Anthem Blue Cross (California) denial?
This registry has not established a payer-specific appeal ladder for Anthem Blue Cross (California). Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do Anthem Blue Cross (California) prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the Anthem Blue Cross (California) provider phone number?
This registry lists 1-855-854-1438 as a contact reference for Anthem Blue Cross (California). Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around Anthem Blue Cross (California) requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against Anthem Blue Cross (California)'s current published documents before submission. CPT® is a registered trademark of the American Medical Association.