Anthem 1500 Provider Insurance Form

Cms 1500 version 08 05 paper claim filing instructions.

Anthem 1500 provider insurance form. Anthem only accepts one member and one provider per claim. Provider groups contracted with us at the group level and who were assigned a six digit anthem id at the group level should place the group s type 2 npi in this field i e certain rural health centers. Provider action required please follow the above billing guidelines to ensure timely processing of claims. Place the entity type 1 npi of the provider who rendered the services in this field.

We encourage you to submit claims electronically. Browse commonly requested forms to find and download the one you need for various topics including pharmacy enrollment claims and more. Electronic claims submission is fast accurate and. If you have questions about this communication please contact the anthem blue cross and blue shield medicaid provider services department at 1 855 661 2028.

Npi number of the billing provider. A claim is the uniform bill form or electronic submission form in the format used by anthem and submitted for payment by a provider for covered services rendered to an anthem member. Anthem blue cross and blue shield.