Anthem BCBS Georgia provider portal, phone and payer ID quick facts
| Provider portal | https://www.anthem.com/provider |
|---|---|
| Provider phone | 1-800-676-2583 |
| Claims payer ID | SB601 |
| Eligibility payer ID | SB601 |
| ERA payer ID | SB601 |
| Timely filing | 90 days (verify applicability) |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
Anthem BCBS Georgia at a glance
| Legal name | Anthem Blue Cross and Blue Shield of Georgia |
|---|---|
| Also known as | BCBS Georgia, Anthem GA |
| Category | BCBS affiliate |
| Parent organization | Elevance Health |
| Claims payer ID | SB601 |
| Eligibility (270/271) payer ID | SB601 |
| ERA (835) payer ID | SB601 |
| NAIC company code | Not established in this registry |
| States covered | Georgia |
| Provider portal | https://www.anthem.com/provider |
| Provider phone | 1-800-676-2583 |
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 BCBS Georgia
This registry lists 90 days as an initial-claim reference for Anthem BCBS Georgia. 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 |
Reconsideration and appeal routes
- Claim Payment Reconsideration / DisputeFile within 60 days
Use Anthem's claim payment dispute process for payment, coding, or reimbursement disputes; confirm the exact deadline on the remittance and provider manual.
- Clinical AppealFile within 180 days
Providers and facilities generally have 180 calendar days to file a clinical appeal from the notice of Anthem's initial decision.
Source: Anthem BCBS Georgia provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with Anthem BCBS Georgia
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
Anthem BCBS Georgia 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 BCBS Georgia 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 BCBS Georgia
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient Anthem BCBS Georgia 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 | SB601 |
| 270 / 271 eligibility | Yes | SB601 |
| 278 prior authorization | Yes | Verify X12 278 routing separately |
| 835 ERA | Yes | SB601 |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Confirm Georgia product, alpha prefix, and BlueCard status before applying Anthem local rules.
- Use Availity for digital authorizations and provider communications where Anthem directs providers to the Authorization application.
- Distinguish claim payment disputes from clinical appeals because deadlines and supporting documentation differ.
Common denial and routing risks for this payer
- Submitting the claim under a generic Anthem route instead of the Georgia/BlueCard route recognized by the clearinghouse.
- Missing the 90-day participating-provider filing window for commercial claims.
- Treating a medical-necessity denial like a payment dispute and missing the clinical appeal documentation path.
How QuickIntell supports this workflow
- Validate member prefix and state before selecting the Anthem/BCBS Georgia payer route.
- Prompt prior authorization checks through Availity before claims are generated for services on Anthem's Georgia PA lists.
- Classify denials as payment disputes or clinical appeals to assign the right deadline and evidence packet.
Sources used for this guide
State coverage
Anthem BCBS Georgia 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 BCBS Georgia
- QuickRCM
End-to-end claim lifecycle automation tuned to Anthem BCBS Georgia's edits and adjudication patterns.
- QuickAuth
Automated prior-authorization submissions and status checks for Anthem BCBS Georgia services that require PA.
- QuickERA
Automated 835 ERA posting from Anthem BCBS Georgia with payment reconciliation and denial routing.
Frequently asked questions about Anthem BCBS Georgia
Where is the Anthem BCBS Georgia provider portal?
The Anthem BCBS Georgia 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 BCBS Georgia?
This registry lists 90 days as an initial-claim reference for Anthem BCBS Georgia. 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 BCBS Georgia payer ID?
The registry lists claims payer ID SB601 for Anthem BCBS Georgia. Eligibility (270/271): SB601. ERA (835): SB601. Do not substitute a claims ID for an unverified transaction ID. Confirm the member ID card, product and clearinghouse payer list before submitting.
Does Anthem BCBS Georgia accept electronic claims?
Yes — Anthem BCBS Georgia 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 BCBS Georgia denial?
Identify the product, state and reason for the decision before choosing a Anthem BCBS Georgia dispute route. The listed starting route is Claim Payment Reconsideration / Dispute (File within 60 days). Use Anthem's claim payment dispute process for payment, coding, or reimbursement disputes; confirm the exact deadline on the remittance and provider manual. Verify the controlling notice and exceptions; reconsideration, appeal and external review are not always a mandatory sequence.
How long do Anthem BCBS Georgia 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 BCBS Georgia provider phone number?
This registry lists 1-800-676-2583 as a provider contact for Anthem BCBS Georgia. Confirm the service scope and the number on the member ID card; claim, eligibility and authorization inquiries may use different teams. Have the member ID, date of service and tax ID ready. The provider portal is https://www.anthem.com/provider.
For revenue-cycle teams
Connect payer lookups to your revenue-cycle workflow
Do staff repeatedly move between payer references, eligibility checks, claim status and remittance follow-up?
- Keep this payer's official reference available to the team.
- Identify one repeated administrative task and measure its handling time.
- Evaluate the required access, exceptions and reviewer handoff before expanding automation.
Anthem BCBS Georgia is an operational reference. Payer decisions remain with the payer. Confirm plan coverage, system access and supported actions during a scoped evaluation.
Download the illustrative workflow worksheet (PDF) · Explore the AI RCM evaluation toolkit · Model the workload and costs
Automate workflows around Anthem BCBS Georgia 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 BCBS Georgia's current published documents before submission. CPT® is a registered trademark of the American Medical Association.