Anthem bcbs of ohio prior authorization phone number

Please verify benefit coverage prior to rendering services. Inpatient services and nonparticipating providers always require prior authorization.

Members of some group health plans may have terms of coverage or benefits that differ from the information presented here.  The following information describes the general policies of Blue Cross and Blue Shield of Kansas (BCBSKS) and is provided for reference only.  This information is NOT to be relied upon as prior-authorization or precertification for health care services and is NOT a guarantee of payment.  To verify coverage or benefits or determine pre-certification or preauthorization requirements for a particular member, call 800-676-BLUE or send an electronic inquiry through your established connection with your local Blue Plan.

Pre-certification / Preauthorization information for out-of-area members

To view the out-of-area Blue Plan's general pre-certification/preauthorization information, enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and click "GO."

Please select one at a time

Alpha prefix:

If you experience difficulties or need additional information, please contact 800-676-BLUE.

Pre-certification required

• All in-patient medical stays (requires secure login with Availity) 800-782-4437
• All in-patient mental health stays 800-952-5906
• All home health and hospice services 800-782-4437
• Transplants with the exception of cornea and kidney 800-432-0272

Disclaimer: Some employer groups have some specific items that require prior authorization. Call for more information.

Predetermination/Prior-authorization required

Please complete and fax the BCBSKS predetermination or prior authorization form embedded within each policy below:

• ACA Prevention Copay Waiver Criteria – Individual Marketplace, Commercial
• Compounded Prescriptions
• Germline Genetic Testing for BRCA1 or BRCA2 for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers
• Human Growth Hormone
• Immunoglobulin Therapy
• Site of Care Infusion Management
• Zolgensma

All other drugs may be prior authorized electronically by completing the prior authorization form through CoverMyMeds. If you need medical policies for these drugs, you will find a list below the CoverMyMeds form.

Many of our pharmacy medical policies are now being maintained through our pharmacy benefit manager, Prime Therapeutics.

Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required.

Blue Cross Blue Shield Provider Phone NumberBlue Cross Blue Shield Federal Phone NumberBCBS Prefix List 2021 - AlphaState LookupBCBS CompanySAASouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSABOhioAnthem Blue-Cross Blue-Shield of OhioSACCaliforniaAnthem Blue-CrossSADNorth CarolinaBlue-Cross Blue-Shield of North CarolinaSAEVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSAFCaliforniaAnthem Blue-CrossSAGCaliforniaAnthem Blue-CrossSAHIllinoisBlue-Cross Blue-Shield of IllinoisSAIOhioAnthem Blue-Cross Blue-Shield of OhioSAJCaliforniaBlue-Shield of CaliforniaSAKIllinoisBlue-Cross Blue-Shield of IllinoisSALSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSAMMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSANVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSAOSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSAPCaliforniaBlue-Shield of CaliforniaSAQMinnesotaBlue-Cross Blue-Shield of MinnesotaSARMichiganBlue-Cross Blue-Shield of MichiganSASPennsylvaniaCapital Blue-Cross of PennsylvaniaSATSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSAUSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSAV-Unallocated/Not AssignedSAWOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSAXNew YorkEmpire Blue-Cross Blue-Shield of New YorkSAYMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSAZ-Unallocated/Not AssignedSBAIndianaAnthem Blue-Cross Blue-Shield of IndianaSBBMissouriAnthem Blue-Cross Blue-Shield of MissouriSBCIllinoisBlue-Cross Blue-Shield of IllinoisSBDSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSBEMassachusettsBlue-Cross Blue-Shield of MassachusettsSBFIllinoisBlue-Cross Blue-Shield of IllinoisSBG-Unallocated/Not AssignedSBHPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSBIGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSBJ-Unallocated/Not AssignedSBKMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSBL-Unallocated/Not AssignedSBM-Unallocated/Not AssignedSBNMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSBO-Unallocated/Not AssignedSBPTexasBlue-Cross Blue-Shield of TexasSBQIllinoisBlue-Cross Blue-Shield of IllinoisSBR BCBS PrefixPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSBSGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSBTOhioAnthem Blue-Cross Blue-Shield of OhioSBUAlaskaPremera Blue-Cross Blue-Shield of AlaskaSBVCaliforniaAnthem Blue-CrossSBWMassachusettsBlue-Cross Blue-Shield of MassachusettsSBXMassachusettsBlue-Cross Blue-Shield of MassachusettsSBYKansas CityBlue-Cross Blue-Shield of Kansas CitySBZ-Unallocated/Not AssignedSCAOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSCBSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSCCCaliforniaBlue-Shield of CaliforniaSCDTexasBlue-Cross Blue-Shield of TexasSCEIllinoisBlue-Cross Blue-Shield of IllinoisSCFVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSCGAlabamaBlue-Cross Blue-Shield of AlabamaSCHMinnesotaBlue-Cross Blue-Shield of MinnesotaSCIOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSCJMinnesotaBlue-Cross Blue-Shield of MinnesotaSCKSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSCLAlaskaPremera Blue-Cross Blue-Shield of AlaskaSCMTexasBlue-Cross Blue-Shield of TexasSCNOhioAnthem Blue-Cross Blue-Shield of OhioSCOAlabamaBlue-Cross Blue-Shield of AlabamaSCP-Credence Blue-Cross Blue-ShieldSCQSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSCRMichiganBlue-Cross Blue-Shield of MichiganSCSPennsylvaniaCapital Blue-Cross of PennsylvaniaSCTVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSCUIdahoBlue-Cross of IdahoSCVNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySCWAlabamaBlue-Cross Blue-Shield of AlabamaSCXIllinoisBlue-Cross Blue-Shield of IllinoisSCYAlabamaBlue-Cross Blue-Shield of AlabamaSCZSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSDANebraskaBlue-Cross Blue-Shield of NebraskaSDBSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSDCVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSDDNew York (Northeastern)Blue-Shield of Northeastern New YorkSDEDelawareHighmark Blue-Cross Blue-Shield of DelawareSDFSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSDGCaliforniaAnthem Blue-CrossSDHSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSDI-Unallocated/Not AssignedSDJMinnesotaBlue-Cross Blue-Shield of MinnesotaSDKSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSDLSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSDM-Unallocated/Not AssignedSDNConnecticutAnthem Blue-Cross Blue-Shield of ConnecticutSDOIllinoisBlue-Cross Blue-Shield of IllinoisSDPNew YorkEmpire Blue-Cross Blue-Shield of New YorkSDQNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySDRPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSDSNew YorkExcellus Blue-Cross Blue-Shield of New YorkSDTAlabamaBlue-Cross Blue-Shield of AlabamaSDUCaliforniaAnthem Blue-CrossSDVOhioAnthem Blue-Cross Blue-Shield of OhioSDWOklahomaBlue-Cross Blue-Shield of OklahomaSDXMinnesotaBlue-Cross 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LouisianaSHY-Unallocated/Not AssignedSHZNorth DakotaBlue-Cross Blue-Shield of North DakotaSIASouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSIBSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSICCaliforniaBlue-Shield of CaliforniaSIDOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSIE-Unallocated/Not AssignedSIFCaliforniaAnthem Blue-CrossSIGMassachusettsBlue-Cross Blue-Shield of MassachusettsSIHNew YorkEmpire Blue-Cross Blue-Shield of New YorkSIIPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern PennsylvaniaSIJGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSIK-Unallocated/Not AssignedSILCaliforniaBlue-Shield of CaliforniaSIMArkansasArkansas Blue-Cross Blue-ShieldSINPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern PennsylvaniaSIONorth CarolinaBlue-Cross Blue-Shield of North CarolinaSIP-Unallocated/Not AssignedSIQ-Unallocated/Not AssignedSIRCaliforniaAnthem Blue-CrossSIS-Unallocated/Not AssignedSITOhioAnthem Blue-Cross Blue-Shield of 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Blue-ShieldSTXIllinoisBlue-Cross Blue-Shield of IllinoisSTYIndianaAnthem Blue-Cross Blue-Shield of IndianaSTZFloridaFlorida-BlueSUAMinnesotaBlue-Cross Blue-Shield of MinnesotaSUBNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySUCNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySUDNew YorkExcellus Blue-Cross Blue-Shield of New YorkSUEPennsylvaniaCapital Blue-Cross of PennsylvaniaSUFNew YorkEmpire Blue-Cross Blue-Shield of New YorkSUGMassachusettsBlue-Cross Blue-Shield of MassachusettsSUHNorth CarolinaBlue-Cross Blue-Shield of North CarolinaSUIOhioAnthem Blue-Cross Blue-Shield of OhioSUJGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSUK-Unallocated/Not AssignedSULSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSUMAlabamaBlue-Cross Blue-Shield of AlabamaSUNIllinoisBlue-Cross Blue-Shield of IllinoisSUO-Unallocated/Not AssignedSUPIllinoisBlue-Cross Blue-Shield of IllinoisSUQ-Unallocated/Not AssignedSURIllinoisBlue-Cross Blue-Shield of IllinoisSUSNew YorkExcellus Blue-Cross Blue-Shield of New YorkSUTCaliforniaAnthem Blue-CrossSUUSouth CarolinaBlue-Cross Blue-Shield of South CarolinaSUVAlabamaBlue-Cross Blue-Shield of AlabamaSUWNew York (Western)Blue-Cross Blue-Shield of Western New YorkSUXNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySUYNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySUZNew JerseyHorizon Blue-Cross Blue-Shield of New JerseySVA-Unallocated/Not AssignedSVBMichiganBlue-Cross Blue-Shield of MichiganSVCAlaskaPremera Blue-Cross Blue-Shield of AlaskaSVDKansas CityBlue-Cross Blue-Shield of Kansas CitySVETennesseeBlue-Cross Blue-Shield of TennesseeSVFPennsylvaniaCapital Blue-Cross of PennsylvaniaSVGKansas CityBlue-Cross Blue-Shield of Kansas CitySVHMinnesotaBlue-Cross Blue-Shield of MinnesotaSVI-Unallocated/Not AssignedSVJ-Unallocated/Not AssignedSVKMississippiBlue-Cross Blue-Shield of MississippiSVLKansasBlue-Cross Blue-Shield of KansasSVM-Unallocated/Not AssignedSVNNorth CarolinaBlue-Cross Blue-Shield of North CarolinaSVOCaliforniaBlue-Shield of CaliforniaSVPMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSVQOklahomaBlue-Cross Blue-Shield of OklahomaSVRGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSVSGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSVTMinnesotaBlue-Cross Blue-Shield of MinnesotaSVUIllinoisBlue-Cross Blue-Shield of IllinoisSVV-Unallocated/Not AssignedSVW-Unallocated/Not AssignedSVXCaliforniaBlue-Shield of CaliforniaSVYMinnesotaBlue-Cross Blue-Shield of MinnesotaSVZ-Unallocated/Not AssignedSWA-Unallocated/Not AssignedSWBArizonaBlue-Cross Blue-Shield of ArizonaSWC-Unallocated/Not AssignedSWDMassachusettsBlue-Cross Blue-Shield of MassachusettsSWE-Unallocated/Not AssignedSWF-Unallocated/Not AssignedSWGOhioAnthem Blue-Cross Blue-Shield of OhioSWHIllinoisBlue-Cross Blue-Shield of IllinoisSWIGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSWJIllinoisBlue-Cross Blue-Shield of IllinoisSWKIllinoisBlue-Cross Blue-Shield of IllinoisSWL-Unallocated/Not AssignedSWM-Unallocated/Not AssignedSWN-Unallocated/Not AssignedSWO-Unallocated/Not AssignedSWPKentuckyAnthem Blue-Cross Blue-Shield of KentuckySWQ-Unallocated/Not AssignedSWRPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSWSMassachusettsBlue-Cross Blue-Shield of MassachusettsSWTArizonaBlue-Cross Blue-Shield of ArizonaSWUOhioAnthem Blue-Cross Blue-Shield of OhioSWVWisconsinAnthem Blue-Cross Blue-Shield of WisconsinSWWSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSWXPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern PennsylvaniaSWYMinnesotaBlue-Cross Blue-Shield of MinnesotaSWZPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSXAArkansasArkansas Blue-Cross Blue-ShieldSXBSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSXCOhioAnthem Blue-Cross Blue-Shield of OhioSXDCaliforniaBlue-Shield of CaliforniaSXEOhioAnthem Blue-Cross Blue-Shield of OhioSXF-Unallocated/Not AssignedSXG-Unallocated/Not AssignedSXH-Unallocated/Not AssignedSXIOhioAnthem Blue-Cross Blue-Shield of OhioSXJCaliforniaAnthem Blue-CrossSXKNew YorkEmpire Blue-Cross Blue-Shield of New YorkSXL-Unallocated/Not AssignedSXMCaliforniaBlue-Shield of CaliforniaSXNOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSXOMichiganBlue-Cross Blue-Shield of MichiganSXP-Unallocated/Not AssignedSXQOhioAnthem Blue-Cross Blue-Shield of OhioSXR-Unallocated/Not AssignedSXS-Unallocated/Not AssignedSXTMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSXU-Unallocated/Not AssignedSXVIdahoBlue-Cross of IdahoSXWIllinoisBlue-Cross Blue-Shield of IllinoisSXXIllinoisBlue-Cross Blue-Shield of IllinoisSXYMassachusettsBlue-Cross Blue-Shield of MassachusettsSXZCaliforniaAnthem Blue-CrossSYAOhioAnthem Blue-Cross Blue-Shield of OhioSYBIllinoisBlue-Cross Blue-Shield of IllinoisSYCOhioAnthem Blue-Cross Blue-Shield of OhioSYDArizonaBlue-Cross Blue-Shield of ArizonaSYESouth CarolinaBlue-Cross Blue-Shield of South CarolinaSYFAlabamaBlue-Cross Blue-Shield of AlabamaSYGMinnesotaBlue-Cross Blue-Shield of MinnesotaSYHMinnesotaBlue-Cross Blue-Shield of MinnesotaSYIPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern PennsylvaniaSYJSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSYKOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSYL-Unallocated/Not AssignedSYMMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSYN-Unallocated/Not AssignedSYOMichiganBlue-Cross Blue-Shield of MichiganSYPGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSYQMichiganBlue-Cross Blue-Shield of MichiganSYRPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSYSWisconsinAnthem Blue-Cross Blue-Shield of WisconsinSYTTennesseeBlue-Cross Blue-Shield of TennesseeSYUMassachusettsBlue-Cross Blue-Shield of MassachusettsSYV-Unallocated/Not AssignedSYW-Unallocated/Not AssignedSYXAlabamaBlue-Cross Blue-Shield of AlabamaSYY BCBS PrefixIllinoisBlue-Cross Blue-Shield of IllinoisSYZAlaskaPremera Blue-Cross Blue-Shield of AlaskaSZAPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern PennsylvaniaSZBOregon/Idaho/Utah/WashingtonRegence Blue-Cross Blue-ShieldSZCIllinoisBlue-Cross Blue-Shield of IllinoisSZDMassachusettsBlue-Cross Blue-Shield of MassachusettsSZEIllinoisBlue-Cross Blue-Shield of IllinoisSZFIllinoisBlue-Cross Blue-Shield of IllinoisSZG-Unallocated/Not AssignedSZHVirginiaAnthem Blue-Cross Blue-Shield of VirginiaSZIGeorgiaAnthem Blue-Cross Blue-Shield of GeorgiaSZJDelawareHighmark Blue-Cross Blue-Shield of DelawareSZKSouth Dakota/IowaWellmark Blue-Cross Blue-ShieldSZLMaryland/District of Columbia/Northern VirginiaCarefirst Blue-Cross Blue-ShieldSZMPennsylvaniaHighmark Blue-Cross Blue-Shield of PennsylvaniaSZNNebraskaBlue-Cross Blue-Shield of NebraskaSZONew York (Northeastern)Blue-Shield of Northeastern New YorkSZP-Unallocated/Not AssignedSZQOhioAnthem Blue-Cross Blue-Shield of OhioSZRAlaskaPremera Blue-Cross Blue-Shield of AlaskaSZSOhioAnthem Blue-Cross Blue-Shield of OhioSZT-Unallocated/Not AssignedSZUOhioAnthem Blue-Cross Blue-Shield of OhioSZV-Unallocated/Not AssignedSZW-Unallocated/Not AssignedSZXAlaskaPremera Blue-Cross Blue-Shield of AlaskaSZY BCBS PrefixCaliforniaAnthem Blue-CrossSZZPennsylvaniaIndependence Blue-Cross of Philadelphia and Southeastern Pennsylvania

What is the provider phone number for Anthem BCBS of Ohio?

What is prior authorization in Anthem?

Is Anthem the same as Blue Cross Blue Shield in Ohio?

Does Anthem BCBS allow retro authorizations?