Claim Submissions

The correct address for the submission of paper claims and correspondence can be found on the back of the member’s identification card.   

Paper claims should be submitted to Anthem Blue Cross and Blue Shield on the standard CMS-1500 (Health Insurance Claim Form) for providers or UB-04/CMS-1450 for filing institutional claims. For general forms, guidelines and instructions, please visit Centers for Medicare and Medicaid Services.    

Electronic Data Interchange (EDI) allows providers to submit claims, retrieve remittance advices and retrieve claim file acknowledgements from their computer system via modem and phone lines to the insurance carrier or clearinghouse.

Advantages of Electronic Claims Submission:

• Saves valuable administrative time and resources-leaving more time for patient care.
• Increases cash flow and accounts receivables.
• Controls insurance billing process — daily reports provide an audit trail and claim status.
• Reduces expenses — administrative, postage, paper forms, print copies and general office expenses.
• Reduces costly, time-consuming re-submittals and follow-up.
• Detects and corrects errors before claims are submitted.
• Reduces start-up costs, as submission software is compatible with practice management systems.
• Permits access to electronic remittance advices for automated accounts receivable posting.