INSURER FILING GUIDE
Anthem Blue Cross and Blue Shield (Connecticut)
Use this public information to prepare your packet, then confirm the route on the insurer's own page.
AT A GLANCE
Claim facts
| Member form | |
|---|---|
| Portal upload | YES |
| 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 by the insurer |
| Attachments | Provider name and address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID |
| Deadline | Not published by the insurer: the Connecticut FAQ and current form do not publish a universal numeric limit |
| Outcome and status | Anthem account claim list and status; Sydney Health claim view; EOB after processing |
| Processing time | Not published by the insurer |
| Caveats | PPO members may have out-of-network coverage; HMO products can require precertification or exclude 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
- Sign in to the Anthem member account, open Submit & Track Claims, and choose the online out-of-network claim route. Portal upload YES. Anthem member account
- If the plan uses the public PDF route, complete Medical Claim Form 24066MUMENABS (10/22), sign and date the certification, and attach an itemized bill. Anthem Medical Claim Form
- Make sure the itemized bill identifies provider name and address, patient, service, each service date and charge, diagnosis code, procedure code, and Tax ID. Anthem Medical Claim Form
- NOT PUBLISHED: accepted file types, size, maximum file count, document grouping, upload confirmation, a distinct behavioral-health portal, electronic-signature acceptance, or the payment recipient without assignment. Anthem Connecticut FAQ
- NOT PUBLISHED: a universal Connecticut member claim deadline or processing time. Employer, fully insured, and self-funded plan documents control. Anthem Connecticut forms
- Check claim status in the Anthem member account or Sydney Health app and review the Explanation of Benefits after processing. Anthem Connecticut FAQ
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 claim list and status; Sydney Health claim view; EOB after processing
- Processing time: NOT PUBLISHED
- Member deadline: NOT PUBLISHED: the Connecticut FAQ and current form do not publish a universal numeric limit
- Deadline basis: Employer, fully insured, and self-funded plan documents control
- Mental health route: No different public behavioral-health member self-file portal is published; selected mental health and substance use services may require precertification
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.