Anthem (Elevance Health) provider portal, phone and payer ID quick facts
| Provider portal | https://www.anthem.com/provider |
|---|---|
| Provider phone | Plan-specific |
| Claims payer ID | Verify in clearinghouse payer list |
| Eligibility payer ID | Verify in clearinghouse payer list |
| ERA payer ID | Clearinghouse-specific |
| Timely filing | 90 days |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
- Anthem (Elevance Health) does not expose one verified national provider-services phone number in this registry. Use the provider portal or member ID card for plan-specific phone routing.
- Anthem (Elevance Health) does not expose one verified national ERA payer ID in this registry. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
Anthem (Elevance Health) at a glance
| Legal name | Elevance Health, Inc. |
|---|---|
| Also known as | Anthem Blue Cross Blue Shield, Anthem BCBS, Elevance Health |
| Category | BCBS affiliate |
| Parent organization | Elevance Health, Inc. |
| Claims payer ID | Not published |
| Eligibility (270/271) payer ID | Not published |
| ERA (835) payer ID | Clearinghouse-specific |
| NAIC company code | Not published |
| States covered | California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin |
| Members covered | ~47 million members |
| Provider portal | https://www.anthem.com/provider |
| Provider phone | Plan-specific |
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 (Elevance Health)
Anthem (Elevance Health)'s standard timely filing window for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid, employer groups, secondary claims) may have shorter or longer windows — always confirm against the policy linked below before disputing a TFL denial.
| Submission type | Window |
|---|---|
| In-network initial claim | 90 days |
| Out-of-network initial claim | 90 days (verify per plan) |
| Secondary / coordination of benefits | 90 days from primary EOB |
| Corrected / appeal | 180 days from denial |
Appeal levels
- Level 1: First-Level ReconsiderationFile within 180 days
Written request for claim reconsideration with supporting documentation, filed within the stated window of the denial notification.
- Level 2: Second-Level Formal AppealFile within 60 days
Formal appeal reviewed by a party not involved in the initial determination; typically requires the first-level decision letter.
- Level 3: External / Independent ReviewFile within 120 days
External Independent Review Organization (IRO) review per ACA §2719 and applicable state law.
Source: Anthem (Elevance Health) provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Anthem (Elevance Health)
Anthem (Elevance Health) accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.
Anthem (Elevance Health) maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.
Top denial reasons for Anthem (Elevance Health)
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Anthem (Elevance Health) volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | — |
| 270 / 271 eligibility | Yes | — |
| 278 prior authorization | Yes | — |
| 835 ERA | No | Clearinghouse-specific |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
State coverage
Anthem (Elevance Health) operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
QuickIntell coverage for Anthem (Elevance Health)
- QuickRCM
End-to-end claim lifecycle automation tuned to Anthem (Elevance Health)'s edits and adjudication patterns.
- QuickAuth
Automated prior-authorization submissions and status checks for Anthem (Elevance Health) services that require PA.
- QuickERA
Automated 835 ERA posting from Anthem (Elevance Health) with payment reconciliation and denial routing.
Frequently asked questions about Anthem (Elevance Health)
Where is the Anthem (Elevance Health) provider portal?
The Anthem (Elevance Health) provider portal is available at https://www.anthem.com/provider. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.
What is the timely filing limit for Anthem (Elevance Health)?
Anthem (Elevance Health)'s standard timely filing limit for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid managed care, employer groups) may have different windows — confirm against the payer's provider manual before disputing a TFL denial.
Does Anthem (Elevance Health) publish a single claims payer ID?
Anthem (Elevance Health) does not publish a single canonical claims payer ID — routing is plan- or jurisdiction-specific. Look up the correct ID per member in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and verify against the member ID card before submission.
Does Anthem (Elevance Health) accept electronic claims?
Yes — Anthem (Elevance Health) accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.
How do I appeal a Anthem (Elevance Health) denial?
Anthem (Elevance Health) uses a 3-level appeal process. Level 1 (First-Level Reconsideration) must be filed within 180 days of the denial. Each escalation level requires the prior decision letter and supporting clinical or coding documentation. See the appeal-levels block above for deadlines and process.
How long do Anthem (Elevance Health) prior authorization approvals take?
Anthem (Elevance Health)'s prior-authorization decision turnaround typically follows standard industry windows: 72 hours for urgent requests and up to 14 calendar days for non-urgent requests. Specialty drugs and high-cost imaging may extend further. Submit through X12 278 or the Anthem (Elevance Health) provider portal for the fastest turnaround.
How do providers contact Anthem (Elevance Health)?
Providers should use the Anthem (Elevance Health) provider portal at https://www.anthem.com/provider for eligibility, claim status, appeals, and authorization workflows. Phone routing varies by plan and product — check the back of the member ID card for the plan-specific provider services number.
Run cleaner claims to Anthem (Elevance Health) with QuickIntell
QuickAuth, QuickRCM, and QuickERA are validated against Anthem (Elevance Health)'s EDI behavior — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules.
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 (Elevance Health)'s current published documents before submission. CPT® is a registered trademark of the American Medical Association.