Get the right resources from the Anthem.com official site for prior-authorization, or pre-authorization, as it relates to health insurance. Learn more today.

A library of the forms most frequently used by health care professionals. Looking for a form, but don’t see it here? Please contact us for assistance.

Required clinical information - Please provide all relevant clinical information to support a prior authorization review. Please provide symptoms, lab results with dates and/or justification for …

Sep 1, 2021 · The best way to ensure you're submitting everything needed for a prior authorization is to use the prior authorization/precertification form at …

Browse commonly requested Anthem forms to find and download the one you need for various topics including pharmacy, enrollment, claims and more.

To check the status of a prior authorization request or decision for a particular plan member, or to submit a clinical appeal, providers will access our Interactive Care Reviewer (ICR) tool via …

On this page you can easily find and download forms and guides with the information you need to support both patients and your staff. Ready to become a provider in the Anthem network? We …

Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location! We are currently in the process of …

Sep 1, 2021 · The best way to ensure you're submitting everything needed for a prior authorization is to use the prior authorization/precertification form at …

We review requests for prior authorization (PA) based on medical necessity only. If we approve the request, payment is still subject to all general conditions of Anthem Blue Cross

To request a medical referral or prior authorization (also known as pre-authorization, pre-certification, pre-determination) from Utilization Management for a member, follow the process …

Please fill out the Prescription Drug Prior Authorization Or Step Therapy Exception Request Form and fax it to (844) 474-3347. Select the Drug List Search tab to access up-to-date coverage …

A library of the forms most frequently used by health care professionals. Looking for a form but don’t see it on this page? Please contact your provider representative for assistance.

1. Complete this form in its entirety. Any incomplete sections will result in a delay in processing. 2. We review requests for prior authorization (PA) based only on whether the request is medically …

Anthem’s Prior Authorization Lookup Tool Online can assist with determining a code’s prior authorization requirements. You can also refer to the provider manual for information about …

To view the BlueCard®/out-of-area Blue Plan’s medical policy or general pre-certification/pre-authorization information, first select the type of information requested, then enter the first …

Jul 2, 2024 · To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer (ICR) tool via Availity. Once …

Some drugs, and certain amounts of some drugs, require an approval before they are eligible to be covered by your benefits. This approval process is called prior authorization.

A library of the forms most frequently used by healthcare professionals is available. Looking for a form but don’t see it on this page? Please contact your provider representative for assistance.

Browse commonly requested forms to find and download the one you need for various topics including pharmacy, enrollment, claims and more in Georgia.