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Anthem Blue Cross of California (Wellpoint)

Anthem did not respond to the 2011 Transparency Survey. The information provided in 2009 is listed below, along with other updates.

Anthem home page

Provider home page

Contracted Fee Schedule
Registration required

Payment policies
Registration required. After registering, go to Provider manual.

Prior Authorization

Precertification Guidelines

Customized Claim Edits

Medical policies

Multiple Procedure Reduction Logic

Appeals - View the process for:

Electronic health care transactions

Claims submission, claims status and electronic remittance advice (ERA)

Electronic Data Interchange information
Submit claims, retrieve remittance advices and retrieve claim file acknowledgements (available for Indiana, Kentucky, Missouri, Ohio and Wisconsin)

Web-Based Claims Submission, Claims Status & Electronic Options

Please consult your vendor or clearinghouse for enrollment specifics for:

  • Referral requests
  • EFT

National Health Insurer Report Card
Review the NHIRC
for this year and past years to see how Anthem stacks up on a variety of critical metrics.

Health Insurer Financial Information:
Health insurer financials

The AMA has compiled a resource that highlights health insurer SEC filing data since 2006. This resource provides information based on company filings for the seven largest national publicly traded health insurers: Aetna, CIGNA, Coventry, Health Net, Humana, UnitedHealthcare and WellPoint/Anthem.

Health insurer state fines
The AMA has compiled a resource that lists the fines health insurers have incurred in each state and the reasons for the fines. This resource underscores the importance of reporting unfair payer practices.

Health insurer CEO compensation
The AMA has compiled a resource that highlights health insurer SEC filing data, including CEO compensation since 2006. This resource provides information based on company filings for the seven largest national publicly traded health insurers: Aetna, CIGNA, Coventry, Health Net, Humana, UnitedHealthcare and WellPoint/Anthem.

LinkedIn Discussion Group
Join discussions in the AMA Administrative Simplification LinkedIn Group.