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Filing a Medical Claim for Services Received in the United States

NOTE: If you received services from a Blue Cross network provider, your provider will submit your claim on your behalf. There is no need to manually submit your claim.

Follow the steps below to file a claim from a non-network provider for services received in the U.S.

To avoid a delay in the processing of your claim, be sure you have a recent Coordination of Benefits form on file with the Health Plan before submitting your claims to Blue Cross.

Step 1: Download the Claim Form – Medical – Services Received in the U.S.

NOTE: For fastest processing, you must include both a completed claim form AND your itemized bill. In lieu of the claim form, an itemized bill may be accepted alone as long as it includes BOTH (1) the information normally supplied on the claim form and (2) the required information for the itemized bill (detailed in Step 2).

Step 2: Complete your claim form in its entirety and attach your itemized bill.

Your itemized bill must include the following:

  • Name and address of provider
  • Place of service (doctor, hospital, laboratory, ambulance service, etc.)
  • Name of patient
  • Service provided
  • Date of service
  • Amount charged for each service
  • Diagnosis code
  • Procedure code
  • Tax ID

Step 3: Submit your claim.

ONLINE (RECOMMENDED)
You must first be a registered user of Anthem.com to submit your claims online.
  1. Log onto Anthem.com
  2. Under the My Plan tab, click Claims.
  3. On the Claims page, click Submit a Claim.
  4. On the Submit a Claim page, complete the requested information, attach copies of your itemized bills, and click Next.
  5. Complete your contact information and click Next.
  6. Check the box attesting to the accuracy of your claim information and click Submit. You will receive onscreen confirmation when your claim has been submitted.

For technical assistance with the online claims submission process, contact Anthem Blue Cross at (866) 755-2680.
By FAX
Choose one:
(866) 896-1393
(866) 896-6531
(866) 896-6626
(866) 896-6532
When faxing your claim, be sure to keep your fax confirmation sheet for your records.

NOTE: If you have Caller ID Block installed on your phone line, you will need to temporarily disable the feature by dialing *82 before faxing your claim to Blue Cross.
By MAIL
DO NOT submit claims to the Health Plan Office.

Mail your claim directly to Blue Cross at the address below:

Anthem Blue Cross
P.O. Box 60007
Los Angeles, CA 90060-0007