INSURER FILING GUIDE
Anthem Blue Cross and Blue Shield (Ohio)
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 | NO |
| Portal path | NOT APPLICABLE: public claim form directs mail submission only |
| 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; provider address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID |
| Deadline | 90 days for Ohio Individual ACA plans |
| Outcome and status | Anthem member account or Sydney Health app shows claims and EOBs |
| Processing time | Not published by the insurer |
| Caveats | HMO or EPO products may have no routine out-of-network benefit; employer and self-funded terms vary; 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
- Confirm that the plan has an out-of-network benefit. HMO, EPO, employer, and self-funded terms can differ. Anthem claims
- Complete Medical Claim Form 24066MUMENABS separately for each patient and provider. Complete all fields and sign and date the certification. Medical Claim Form
- Attach an itemized bill or photocopy containing provider and patient identification, service, date, charge, diagnosis code, procedure code, and Tax ID. Medical Claim Form
- Portal upload NO. The public claim form directs only offline submission. The member account and Sydney Health public pages describe claim viewing, not member claim upload. Destination details are excluded. Medical Claim Form Anthem claims
- For an Ohio Individual ACA plan, file within 90 days. Other plan deadlines are NOT PUBLISHED on the public form and must be read from the controlling plan document. Check status and EOBs in the Anthem member account or Sydney Health. Transparency in Coverage Anthem claims
Filing facts
- Portal upload: NO
- Portal: Anthem member account and Sydney Health app
- Portal path: NOT APPLICABLE: public claim form directs mail submission only
- Mail address: Anthem Blue Cross and Blue Shield, P.O. Box 105187, Atlanta, GA 30348-5187
- Fax: NOT PUBLISHED
- Attach: Provider name; provider address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID
- File types: NOT APPLICABLE
- File size limit: NOT APPLICABLE
- Maximum files: NOT APPLICABLE
- One file or separate files: NOT APPLICABLE
- Confirmation: NOT PUBLISHED
- Status check: Anthem member account or Sydney Health app shows claims and EOBs
- Processing time: NOT PUBLISHED
- Member deadline: 90 days for Ohio Individual ACA plans
- Deadline basis: Employer fully insured and self-funded plan deadlines are plan-specific
- Mental health route: NOT PUBLISHED: behavioral administrator and member self-file route depend on the plan
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.