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 |
| 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 published |
| 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
Anthem BCBS Georgia'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 | 60 days from denial |
Appeal levels
- Level 1: 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.
- Level 2: 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
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 | SB601 |
| 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?
Anthem BCBS Georgia'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.
What is the Anthem BCBS Georgia payer ID?
The primary claims payer ID for Anthem BCBS Georgia is SB601. Eligibility (270/271) uses SB601 and ERA (835) uses SB601. Always verify against the member ID card and your 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?
Anthem BCBS Georgia uses a 2-level appeal process. Level 1 (Claim Payment Reconsideration / Dispute) must be filed within 60 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 BCBS Georgia prior authorization approvals take?
Anthem BCBS Georgia'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 BCBS Georgia provider portal for the fastest turnaround.
What is the Anthem BCBS Georgia provider phone number?
Providers can reach Anthem BCBS Georgia at 1-800-676-2583 for claims status, eligibility verification, and authorization questions. Have the member ID, date of service, and tax ID ready before calling. Most operational tasks are faster through the provider portal at https://www.anthem.com/provider.
Run cleaner claims to Anthem BCBS Georgia with QuickIntell
QuickAuth, QuickRCM, and QuickERA are validated against Anthem BCBS Georgia'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 BCBS Georgia's current published documents before submission. CPT® is a registered trademark of the American Medical Association.