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INSURER FILING GUIDE

Anthem Blue Cross and Blue Shield (Colorado)

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

Get the skill

AT A GLANCE

Claim facts

Member form

Medical Claim Form

Number: 24066MUMENABS

Revision: 10/22

Open the insurer form
Portal uploadYES
Portal pathLog in > Submit & Track Claims > submit out-of-network claims online
Mail addressAnthem Blue Cross and Blue Shield, P.O. Box 105187, Atlanta, GA 30348-5187
FaxNot published by the insurer
AttachmentsProvider name and address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID
DeadlineNot published by the insurer: current public Colorado forms and FAQ do not publish a universal member-filing limit
Outcome and statusAnthem account claims list and status; Sydney Health claim view; EOB after processing
Processing timeNot published by the insurer
CaveatsPPO products may have out-of-network benefits; HMO and EPO products can limit routine out-of-network care; Medicare Advantage and Medicaid are outside this row

STEP BY STEP

Filing steps

Source: https://www.anthem.com/docs/inline/24066MUMENABS_New.pdf

Read date: 10-09-2026

Research steps

  1. Sign in to the Anthem member account and select Submit & Track Claims to submit an out-of-network claim online. UNREADABLE: the post-login controls. Anthem member account
  2. Complete Medical Claim Form 24066MUMENABS and sign and date its certification. The form footer expressly identifies the Colorado issuer. Anthem Medical Claim Form
  3. Attach an itemized bill showing provider name and address, patient name, service, date of service, amount charged for each service, diagnosis code, procedure code, and Tax ID. Anthem Medical Claim Form
  4. NOT PUBLISHED: whether the portal uses the PDF or an on-screen form, accepted file types, size limit, file count, document grouping, confirmation, electronic-signature acceptance, processing time, or a universal filing deadline. Members must use the plan-specific forms and deadline shown after login. Anthem Colorado forms
  5. A nonparticipating-provider payment is generally sent to the member, subject to mandates and negotiated agreements. Anthem provider forms and guides
  6. Check claim status in the Anthem account. The Colorado FAQ says each claim displays its stage. Sydney Health also displays claims. Anthem Colorado FAQ Sydney Health App Store listing

Filing facts

  • Portal upload: YES
  • Portal: Anthem member account
  • Portal path: Log in > Submit & Track Claims > submit out-of-network claims online
  • Mail address: Anthem Blue Cross and Blue Shield, P.O. Box 105187, Atlanta, GA 30348-5187
  • Fax: NOT PUBLISHED
  • Attach: Provider name and address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: NOT PUBLISHED
  • Confirmation: Explanation of Benefits after processing; upload confirmation NOT PUBLISHED
  • Status check: Anthem account claims list and status; Sydney Health claim view; EOB after processing
  • Processing time: NOT PUBLISHED
  • Member deadline: NOT PUBLISHED: current public Colorado forms and FAQ do not publish a universal member-filing limit
  • Deadline basis: Individual, employer, fully insured, and self-funded plan documents control
  • Mental health route: No different public behavioral-health member self-file portal is published

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.anthem.com/docs/inline/24066MUMENABS_New.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.