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On this site, you’ll find resources that help healthcare professionals do what they do best — care for our members. For questions or concerns regarding the Ohio Department of Medicaid (ODM) provider network management portal (PNM), please contact ODM's integrated helpdesk at 800-686-1516.
Log in to manage your Anthem account and explore important information relevant to you.
Here, you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our members. Provider forms are located in our online library for easy access.
Please use Availity Essentials for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Anthem associate from within the Availity Portal. For other issues, you can message the Provider Experience team.
All you need to know about your health plan, all in one place. With a secure online account, you can change your primary care provider (PCP), view or share your member ID card, live chat with Member Services, and more! Log in today to manage your health plan 24/7
Get Medical Policies, Clinical Utilization Management (UM) Guidelines, Provider Manuals and Pre-Certification/Pre-Authorization Requirements any time you need them. See Policies and Guidelines. Find drug lists, pharmacy program information, and provider resources.
Availity offers healthcare professionals free access to real-time information. Use the secure portal during patient check-in, checkout, billing, or whenever you might benefit from easy access to health plan information.
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 Availity Essentials.
Ohio Help Center: Important contact information for Anthem Blue Cross and Blue Shield Ohio.
Get help from Blue Cross and Blue Shield to find a doctor or specialist. Enter your location information and connect with a doctor near you.