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INSURER FILING GUIDE

Anthem Blue Cross (California)

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

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AT A GLANCE

Claim facts

Member form

Medical Claim Form

Number: 24066CAMENABC

Revision: 4/23

Open the insurer form
Portal uploadNO
Portal pathNOT APPLICABLE: public claim form directs mail submission only
Mail addressAnthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007
FaxNot published by the insurer
AttachmentsProvider name; provider address; patient name; service provided; date of service; amount charged for each service; diagnosis code; procedure code; Tax ID
Deadline180 days for California Individual ACA plans
Outcome and statusAnthem member account or Sydney Health app shows claims and EOBs
Processing timeNot published by the insurer
CaveatsIndividual ACA plans do not cover unauthorized nonemergency out-of-network services; HMO or EPO and employer plan terms vary; Medicare Advantage and Medicaid are outside this row

STEP BY STEP

Filing steps

Source: https://www.anthem.com/docs/inline/24066CAMENABC-public.pdf

Read date: 10-09-2026

Research steps

  1. Confirm that the plan has an out-of-network benefit. California Individual ACA plans state that unauthorized nonemergency out-of-network services are not covered. California Transparency in Coverage
  2. Complete Medical Claim Form 24066CAMENABC separately for each patient and provider. Complete all fields and sign and date the certification. Medical Claim Form
  3. Attach an itemized bill or photocopy containing provider and patient identification, service, date, charge, diagnosis code, procedure code, and Tax ID. Medical Claim Form
  4. Portal upload NO. The public claim form and California transparency page direct only offline submission. Destination details are excluded. Medical Claim Form California Transparency in Coverage
  5. For a California Individual ACA plan, file within 180 days. Other plan deadlines are NOT PUBLISHED on the public form. Check claim status and EOBs in the Anthem member account or Sydney Health. California 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, P.O. Box 60007, Los Angeles, CA 90060-0007
  • 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: 180 days for California 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/24066CAMENABC-public.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.