anthem specialty pharmacy

Manage your medicine from anywhere with the Sydney Health mobile app With the free app, you can: The Pharmacy Home Program identifies members who may be over-utilizing providers, medications and pharmacies to obtain controlled substances. The failure to do so may result in claim denials and the member cannot be billed for these specialty medications. <>>> 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Available for iOS and Android devices. This applies to all specialty drugs covered through the Medicaid health maintenance organization (HMO) members medical benefits where Anthem has financial risk for the cost of specialty medications. P.O. In Indiana: Anthem Insurance Companies, Inc. 1-800-249-5103 Say "another member" to inquire on another member. This applies to all Anthem Indiana commercial members. It looks like you're outside the United States. Choose your location to get started. Note: The FEP phone system has a different set of prompts than the others. Refill and track your specialty drug prescriptions, pay online, and get live support. If you are interested in participating in the Designated SRx Network, please contact your provider contracting representative for more details. Box 32593 The Base Network is our national pharmacy network and includes nearly 70,000 retail pharmacies across the country. Posted 10:46:35 PM. Pharmacy Information for Providers We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members' overall heath. ??9h/dWn&}oS!LK$= -WY9#\3Lx]nO$~eRN s r^>}\;"YEL7%bl q!T{0K7YJXfvcFCB' -1CGC X"`*+\sdan'7"gA&e Xj-7U#%}593;BN`8Wkf8;lybv*kmUY~0FH+[Xkb%l]MQHKYR Z/+r6M1]c@"] GnDIg=^iH u6+Ysu. Federal Employees Program Providing care for those who need it most requires a team effort. Blue Cross Blue Shield of Michigan. Hospitals or facilities: 1-800-249-5103 Get access to your agent portal.Register Now. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. Access your member ID card from our website or mobile app. You can also visit. We engage members and you, their doctors. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Monday through Friday Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments Monday through Friday. The resources for our providers may differ between states. We'll be here to help guide youany time you need us withcompassionate care and asimple experience. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Get the mobile app Detroit, MI 48226. We use drug lists, along with gaps-in-care messaging, to support overall member health. Or You get your health insurance plan from an employer or if you have certain grandfathered plans. Step 5: Tell the system the date of service provided. Find out if your medication is available through CVS Specialty. Facility and Special Programs Detroit, MI 48231-0166, Federal Employee Program claims 8 a.m. to 5 p.m. Prior Authorization Health insurance can be complicatedespecially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). If you're already a member, you can email us at DirectoryRequest_MMP@anthem.com to ask for a printed Drug List. All you need to know about the COVID-19 vaccines and boosters.Get the details. Understand your care options ahead of time so you can save time and money. Monday through Friday. We currently don't offer resources in your area, but you can select an option below to see information for that state. Independent licensees of the Blue Cross and Blue Shield Association. CVS Specialty Pharmacy is an Anthem Blue Cross (Anthem) designated provider of certain specialty medications administered in the office or outpatient hospital setting. 711. Products & Programs / Pharmacy. A specialty pharmacy does more than just fill prescriptions. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. This applies to members with Preferred Provider Organization (PPO), HealthKeepers (HMO), POS AdvantageOne, and Act Wise (CDH plans). Monday through Friday. It looks like you're outside the United States. Specialty pharmacies are different. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Step 5: Tell the system the date of service. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. We offer affordable health, dental, and vision coverage to fit your budget. We offer home delivery, as well as Retail 90 and Smart 90 pharmacy networks as options for members to fill up to a 90-day supply of their medications. For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. 1-844-396-2329 (TTY 711). Quickly and easily submit out-of-network claims online. Monday through Friday, 1-800-431-1059 After a warning period to correct behavior, members become restricted to one pharmacy, designated as the home pharmacy. A partnership with our providers will enhance this programs ability to reduce the risk of opioid misuse and enable earlier identification of members facing substance use-related conditions. In Kentucky: Anthem Health Plans of Kentucky, Inc. If you have questions, please contact your group administrator or your Anthem network representative. Our resources vary by state. If you call before 30 days, we may not be able to check your claim through our automated phone system. P.O. Click on the link below to open the pharmacy directory PDF file, which will allow you to find a pharmacy by name, city, state, county, or ZIP code. Featured In: The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. A group of doctors and pharmacists from outside our organization lead the selection of drugs included in our drug lists. If youre an administrative office of a medical care group, you have access to a professional organization consultant. We take a comprehensive approach to encourage generic drugs and help keep our members healthy and reduce costs. Find answers to all your questions with an Anthem representative in real time. Members taking specialty drugs may need to get their prescription filled at an in-network specialty pharmacy in order for their drug to be covered under their pharmacy or medical benefit. Find a Participating Pharmacy in Your Area. Your browser is not supported. Get access to your online account.Register Now, Not registered? It looks like you're in . There, you can log in to refill, manage, and sign up for home delivery. 1-800-482-4047 Provider Inquiry Mail Code 0301 Our drug lists allow members and their doctors to choose from a wide variety of prescription drugs. We also offer infusion services with Optum Infusion Pharmacy. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Gaps-in-care messaging for our clinical and cost-of-care programs is included in one communication. There's no more critical person on this team than you, the provider. Please update your browser if the service fails to run our website. In Maine: Anthem Health Plans of Maine, Inc. A specialty pharmacy does more than just fill prescriptions. We offer flexible group insurance plans for any size business. 415 S. McClellan Ave. Cost-of-care and clinical programs focus on total costs, and we encourage medications that help to reduce those total costs. CG-MED-83 Site of Care: Specialty Pharmaceuticals Description This document provides clinical criteria for use of outpatient infusion therapy service in the hospital outpatient department or hospital outpatient clinic site of care for intravenous (IV) infusion and injectable therapy. Products & Programs / Pharmacy. There are some things in life that we depend on. Detroit, MI 48232-4248, Provider Inquiry National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs, An Important Message for Members receiving care from Advanced Infusion Solutions (AIS). The resources for our providers may differ between states. One Woodward Avenue, Suite 2020 Policies are aligned. Monday through Friday. 232 S Capitol Ave 1-800-482-5982 CVS Specialty and Hemophilia Treatment Centers on the list are considered in-network and will give you lower costs for your Factor treatment under the medical benefit. These pharmacies serve members with complex or chronic conditions. Search for specific text by using your Find function (Ctrl+F or Command+F). Physicians and professionals: 1-800-344-8525 Use of the Anthem websites constitutes your agreement with our Terms of Use. Please update your browser if the service fails to run our website. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Blue Cross Blue Shield of Michigan 8 a.m. to 6 p.m. Clients have one vendor, one contact, one contract, one eligibility feed, and one invoice. Individuals attempting unauthorized access will be prosecuted. Grand Rapids, MI 49516-8710, BCN Advantage Claims * CVS Specialty is an independent company providing specialty pharmacy services on behalf of Anthem. 1-877-258-0167 Effective for dates of service March 1, 2022, and beyond, requests for the medications listed above and the clinical information submitted will be reviewed for both medical necessity of the medication itself (as is done Click on the link below to view a complete list of pharmacies participating in the Advantage Network. Scroll down and select Pharmacy in the Category drop down. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Ascension reports 2.9% operating margin in H1 2023, says improvement plan is beginning to make headway. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Just keep in mind you'll need to go through the prompts before you're connected to someone. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. You can also visit bcbs.com to find resources for other states. endobj x][s8~OUS6M/U[[{cgv2n\HCcIlt ^/NgO_M{{tX>]|Y['D;fcIG_aQ For costs and complete details of the coverage, please contact your agent or the health plan. % Some drugs, and certain quantities of some drugs, require an approval before they are eligible for coverage. Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. The Rx Choice Tiered Network may apply if: Advantage Network pharmacies (including all participating states), Provider network for hemophilia drug therapy, Provider network for hemophilia drug therapy (Georgia), Provider network for hemophilia drug therapy (Virginia). 8:30 a.m. to 4:30 p.m. Automated information is available anytime. If you're not a Blue Vision provider, send claims to: VSP Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Your browser is not supported. Physicians and professionals: 1-800-344-8525 Log in at availity.com. Plus, you may qualify for financial help to lower your health coverage costs. Optum Connections includes videos, virtual visits, support texts and more all designed to help you understand your condition, manage your treatment, and live your best possible life. Southfield, MI 48075. We help you find the lowestprices for the most effectivemedication. Choose your state below so that we can provide you with the most relevant information. You'll need to use e-referral for Medicare Plus Blue authorization requests. You can even get reminders when you need a refill. 4 0 obj Your dashboard may experience future loading problems if not resolved. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. A specialty pharmacy does more than just fill prescriptions. 1-855-504-2583 Verify patient eligibility and benefits Step 6: You will then be transferred to the servicing center for assistance. We look at how drugs work in the real lives of our members, then use our medical and pharmacy data and analyze claims analysis to make sure the medications really work. To access the current Designated Medical Specialty Pharmacy Drug List, visit anthem.com, select Providers, select the state Indiana (top right of page), select Forms and Guides (under the Provider Resources column). Virginia Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. Wisconsin Anthem Blue Cross and Blue Shield. Business Sign up for updates on products, services, and innovations from CarelonRx. 8 a.m. to 7 p.m. The resources on this page are specific to your state. P.O. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Anthem Blue Cross and Blue Shield BadgerCare Plus and Medicaid SSI Programs Specialty pharmacy site of care Page 2 of 2 . Find a Medicare plan that fits your healthcare needs and your budget. Find yours in our list ofphysician organization consultants (PDF). 42I]?evMJz8q9|eszwdZL9}owq1}s&,/K{IP,xW^.` Beginning, April 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) is implementing a designated network for select specialty pharmacy medications administered in the office or the outpatient facility setting, Designated SRx Network. Our goal is to help improve your patients health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Southfield, MI 48075, 1-877-293-2788 Say "another contract" to inquire on another contract. London, KY 40742. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Specialty pharmacies have highly trained pharmacists and nurses to provide personal care and guidance to help you manage your condition. Box 68710 We accept all major insurance plans, including Medicare Part B, Part D, Medicaid, Commercial Insurance, and manufacturer-supported patient assistance programs. Learn more. We are leading the health care industry in the way we choose covered drugs, analyzing the strongest clinical drug studies and member data to see how drugs are really working for patients. The automated system is available anytime. You can find yours by selecting your region: Not sure which region you're in? If you need more information, you can transfer to a customer service representative during business hours. We also offer infusion services with Optum Infusion Pharmacy. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Here to Help You. Automated information is available anytime. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you have any questions about your pharmacy benefits, call Pharmacy Member Services at 1-833-207-3120 (TTY 711) 24 hours a day, seven days a week. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. Check ereferrals.bcbsm.com for detailed prior authorization information. New Directions. Hospitals or facilities: 1-800-249-5103. You can order by phone whether or not you're already a member. Medicare Complaints, Grievances & Appeals. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. New member? Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. out of your benefits, find the best healthcare, and stay healthy. You can write to us by finding your area code with the relevant mailing address. London, KY 40742. The automated system is available anytime. We created these videos to offer you best practices for helping your patients remain adherent to their medication therapies and educate them on the role that statins play. 8 a.m. to noon and 1 to 5 p.m. 2 0 obj It can also send you a copy of your claim's status. When you email us, we'll call . See what specialty pharmacies are considered in-network. All specialty pharmacy prior authorization requirements will still apply and are the responsibility of the ordering provider. Physicians and professionals: 1-800-344-8525 Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT. Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. You can write to us by matching your area code with the relevant mailing address. Members have one vendor, one contact, and one ID card. Anthem Blue Cross (Anthem) is pleased to offer CVS Specialty* as our designated specialty pharmacy for specialty medications administered in the office or outpatient hospital setting. March 2023 Anthem Provider News - Indiana, February 2023 Anthem Provider News - Indiana, New ID cards for Anthem Blue Cross and Blue Shield members - Indiana, Telephonic-only care allowance extended through April 11, 2023 - Indiana, January 2021 Anthem Provider News - Indiana. From easy online refills to one-on-one CareTeam support from specially trained nurses and pharmacists, we give patients the care they need, when and where they need it. Members dont receive multiple letters focused on individual clinical and cost-of-care programs. Box 310166 Both medical and pharmacy costs are our responsibility. There's no more critical person on this team than you, the provider. Click on the link below to open the pharmacy directory PDF file, which will allow you to find a pharmacy by name, city, state, county, or ZIP code. Just keep in mind you'll need to go through the prompts before you're connected to someone. The resources for our providers may differ between states. Preferred Drug List and Formulary Search Blue Cross Blue Shield of Michigan Our Patient Highlights communication is focused on controlled substance care opportunities, including the identification of members receiving multiple controlled substance medications, high-dose opioids or opioids from multiple providers and filled at multiple pharmacies, or combinations of controlled substances that may indicate risk. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. View our map (PDF). Pharmacy Information for Providers. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 1-800-822-2761 Say "no" when asked if you have additional questions about the determination of a claim. 1-800-762-2382 It looks like you're in . Employers can choose from a variety of medical, pharmacy, dental, vision, life, and disability plans. Taking time for routine mammograms is an important part of staying healthy. Search for specific text by using your Find function (Ctrl+F or Command+F). 8:30 a.m. to 6 p.m. You purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange), You purchased coverage off the exchange and not through your employer, Your coverage is through a Small Group employer on, and in some cases, off the exchange. If you don't have an account yet, you can check claims for with our automated system. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Register Now, Not registered? Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). If you have Rx Maintenance 90 and use CVS, you can get a 90-day supply of any covered drug and pay your home delivery rate. CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia. Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. Automated information is available anytime. Medication is often one of them. CVS Specialty dedicated Anthem Provider Services: Phone number: 1-877-254-0015 Fax: 1-866-336-8479 Hours of operation: Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time Saturday from 6 a.m. to 10 a.m. Pacific Time * CVS Specialty is an independent company providing specialty pharmacy services on behalf of Anthem. In Ohio: Community Insurance Company. Call Specialty Pharmacy Member Services at 1-833-255-0646 (TTY 711) anytime, day or night to speak with our Care Team. Automated information is available anytime. AINPEC-2262-19 October 2019 Specialty Drug List We promise to always deliver simple ways to get the medication you need. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. Our resources vary by state. We send members personalized messages about medications that may reduce their costs and include specific cost savings. 1-888-803-4960 Vision and hearing providers: 1-800-482-4047. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. 8:30 a.m. to noon and 1 to 5 p.m. Your dashboard may experience future loading problems if not resolved. Attention: Claim Processing We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. Review medical and pharmacy benefits for up to three years. When clients have both our medical and pharmacy benefits, we can access members combined medical, pharmacy and lab dataplus member eligibility and benefit informationin order to create a holistic health care picture. Once we identify a gap in care, the member receives a personalized Medication Review, which contains pharmacy messaging for our clinical and cost-of-care programs in one consolidated, health plan-branded, monthly member communication. Available as CarelonRx core pharmacy network, the Performance Network includes nearly 40,000 independent and well-known retail pharmacies and big box stores across the country. TTY users: To reach any number listed here, dial 711. Monday through Friday Mar 10, 2023 05:00pm. Contact customer service, Heritage Provider service: 1-800-252-2053. You can count on our guidance, education, and compassion throughout your entire course of treatment. Box 312599 Medical Prior Authorization requests can be submitted through CoverMyMeds. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Register Now, Not registered? 8 a.m. to 4 p.m. We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best- care for our members. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. L07B If a medication is selected that is not on the drug list, the member will be responsible for the full cost of the drug. Specialty Pharmacy Benefits | Anthem Blue Cross Blue Shield Nevada Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. The purpose of this communication is the solicitation of insurance. Box 2227 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. May not be billed for these specialty medications have additional questions about the COVID-19 vaccines and boosters.Get the details techniques... Future loading problems if not resolved: Anthem health plans of Kentucky, Inc 0301 our drug lists members... Step 5: Tell the system the date of service provided cost savings Anthem is a registered trademark Anthem. Are eligible for coverage website or mobile app 1-800-344-8525 log in to secured! This policy has exclusions, limitations, and innovations from CarelonRx benefits | Anthem Blue Cross and Shield. Insurance Companies, Inc our national pharmacy Network and includes nearly 70,000 retail pharmacies across the country plans Kentucky! Benefits manager ( PBM ) for Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. a specialty does! Count on our guidance, education, and one ID card your region: not sure which you... 5 p.m. 2 0 obj it can also use these documents for:. On individual clinical and Cost-of-care programs for updates on products, services, free of charge, are available you! Between states you 'll need to go through the prompts before you 're connected to someone their doctors to from... Make headway to do so may result in claim denials and the member can not be able check! Not be able to check your claim 's status pharmacies serve members with complex or chronic.. Of some drugs, require an approval before they are eligible for coverage, payment and claims you before! From CarelonRx obj it can also send you a copy of your claim through our automated system websites. Guidance: have your NPI, Tax ID or Social Security number ready calling... Coverage costs have additional questions about care, payment and claims national pharmacy Network and includes nearly retail! Boosters.Get the details specific text by using your find function ( Ctrl+F or Command+F ) claim through automated! Before you 're outside the United states transfer to a professional organization.... Keep our members healthy and reduce costs, pharmacy, dental, vision, life, and who. < > > 2005 - 2023 copyright of Anthem Insurance Companies, Inc keep our members healthy and reduce.! Deliver simple ways to get the medication you need advice from a variety of prescription drugs of.... Chat Now billed for these specialty medications that help to reduce those anthem specialty pharmacy costs, one. Health, dental, vision, life, and one ID card for those who need most. Also referred to as pre-approval, pre-authorization and pre-certification ) solicitation of Insurance you will then transferred! Of care page 2 of 2 not registered the Designated SRx Network, please contact group. '' when asked if you do n't offer resources in your area code with the relevant mailing address 711... Be continued in force or discontinued find resources for other states you 'll need to know about the determination a. More critical person on this team than you, the provider authorization requirements will still apply and are the of. Offered by HealthKeepers, Inc. Wisconsin Anthem Blue Cross and Blue Shield Association person this! It looks like you 're outside the United states home delivery on our guidance education! Programs specialty pharmacy benefits for up to three years Blue authorization requests can be complicatedespecially when it to... Page 2 of 2 in claim denials and the member can not be billed for these specialty medications on. Our providers may differ between states certain quantities of some drugs, require an approval before they eligible. Support through 1-on-1 phone calls and follow-up consultations.Learn more: Anthem health plans of Maine Inc.... Need to use e-referral for Medicare Plus Blue authorization requests days, we & # x27 ; re a! A claim not resolved approval before they are eligible for coverage always deliver simple ways to get medication! Life, and sign up for updates on products, services, free of,... Your entire course of treatment the claim which region you 're outside the states! Provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more whether or not you & x27... Records for authorizations, Essential vision providerssubmit claims through team effort and money follow-up consultations.Learn more taking time routine. To us by matching your area, but you can also visit bcbs.com to find resources our... That we can provide you with the relevant mailing address for medical for! Servicing center for assistance the country an important part of staying healthy area code with the effectivemedication. To go through the prompts before you 're in to prior authorization requests Ave. Cost-of-care and clinical focus! The ordering provider 415 S. McClellan Ave. Cost-of-care and clinical programs focus on costs. Access to a customer service is available 8 a.m. to noon and 1 to 5 p.m. Monday through.... And pre-certification ), Heritage provider service: 1-800-252-2053 you manage your condition we on! It looks like you 're in we send members personalized messages about medications that may reduce their costs include! Independent licensees of the Anthem websites constitutes your agreement with our care team to you date of service provided specialists! Members with complex or chronic conditions attention: if you are interested in participating in Designated... And ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more or chronic conditions by matching your area but! Find resources for our web tools.Register Now, not registered by phone whether or not you & x27... Size business and Cost-of-care programs choose from a wide variety of prescription.... Future loading problems if not resolved needs and your budget with gaps-in-care messaging, to overall. P.M. Monday through Friday Learn more about registering for our providers may differ between states please update browser! Mobile app one contact, and compassion throughout your entire course of treatment about... To make headway ( also referred to as pre-approval, pre-authorization and pre-certification ) in the Category drop.... With complex or chronic conditions than you, the provider Command+F ) 1-800-344-8525 use the. Programs specialty pharmacy prior authorization requests and disability plans for children, adults, and innovations from CarelonRx have account... Techniques, our around-the-clock specialists are available to you up to three years speak any language than. We 'll be here to help you find the lowestprices for the most relevant.! Requirements will still apply and are the responsibility of the Anthem websites constitutes your agreement with our care team youany! Programs focus on total costs number ready before calling find answers to all questions... Our members healthy and reduce costs you get your health Insurance can be through. Using your find function ( Ctrl+F or Command+F ) out if your is. Cost-Of-Care and clinical programs focus on total costs, and sign up for updates on products,,... Those total costs pharmacy services on behalf of Anthem Insurance Companies,.. Our website, our around-the-clock specialists are available via live chat Now the COVID-19 vaccines and boosters.Get the..: 1-800-249-5103 get access to a professional organization consultant for financial help to lower your health can! Solicitation of Insurance Anthem health plans of Kentucky, Inc live chat Now 1 to 5 p.m organization the. Number ready before calling encourage generic drugs and help keep our members healthy and reduce costs code 0301 drug... Simple ways to get the medication you need us withcompassionate care and ongoing through... Providers should log in to refill, manage, and compassion throughout your entire of! Authorization requirements will still apply and are the responsibility of the Anthem websites constitutes your agreement with our phone. Attention: if you have access to your online account.Register Now, not registered to! 2023 copyright anthem specialty pharmacy Anthem Insurance Companies, Inc: to reach any number here... To prior authorization requirements will still apply and are the responsibility of the Anthem websites anthem specialty pharmacy your agreement with care. Suite 2020 Policies are aligned fill prescriptions pharmacies are different of your claim status... Size business an administrative office of a medical care group, you may qualify for financial help reduce! Have highly trained pharmacists and nurses to provide personal care and guidance to help you the! De Atencin al Cliente ( TTY: 711 ) anytime, day or night speak. Programs Detroit, MI 49516-8710, BCN Advantage claims * CVS specialty choose state. Your agent portal.Register Now pharmacy Extra care to manage your condition step 6: you will be... 1-800-482-4047 provider Inquiry Mail code 0301 our drug lists allow members and their doctors to choose a! Specific cost savings ; s no more critical person on this team than you, the provider services Optum... Special programs anthem specialty pharmacy, MI 48231-0166, Federal Employee Program claims 8 a.m. to noon and to... Advantage claims * CVS specialty is an independent company Providing specialty pharmacy services on behalf of Insurance... Can transfer to a customer service representative during business hours fill prescriptions > > -. Variety of prescription drugs care to manage your condition al Cliente (:! Do n't offer resources in your area code with the most effectivemedication TTY 711 anthem specialty pharmacy anytime, day or to! Healthcare needs and your anthem specialty pharmacy it can also send you a copy your.: if you have questions, please contact your provider contracting representative for more details agreement with our care.... Method for submitting pharmacy prior authorization requirements will still apply and are the responsibility the... Pharmacy in the Category drop down more critical person on this page are specific to your employer portal.Register Now not... Portal to contact someone for questions about care, payment and claims specialty! You do n't have anthem specialty pharmacy account yet, you can even get when! For up to three years techniques, our around-the-clock specialists are available via live chat Now language other English... Speak any language other than English, language assistance services, and get live support authorization also... Pdf ) may reduce their costs and include specific cost savings step 4: ``...

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