BlueCard home-plan routing

C4L

BCBS prefix

C4L routes to Anthem Blue Cross and Blue Shield Ohio in OH.

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  • Enhanced eligibility across 3+ clearinghouses
  • Coordination of benefits via CAQH registry
  • Insurance coverage discovery
  • Includes payer portal check
Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>

Routing destination

Anthem Blue Cross and Blue Shield Ohio

The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.

Enhanced claim statusEDI 276/277, Availity ECS, or portal automation
Available
EligibilityEDI 270/271
Available
Appeals agentAI appeals workflow
Not published

Phone and fax contacts

Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.

Phone lines3
  • (800) 866-0105Utilization review line: 800-866-0105Utilization review and maternity management line. Pre-certification is handled online or by a representative; the menu also offers case status and the provider portal.Answered by: Automated phone menu → Live person
  • (866) 549-3531Conversational AI LineAI interview line with no captured greeting or answers.Answered by: AI assistant
  • (888) 650-4133Anthem Provider ID LineAnthem Blue Cross and Blue Shield provider line that identifies the caller by NPI or tax ID.Answered by: Automated phone menu
Phone numbers199
Anthem Blue Cross Blue Shield Ohio phone numbers
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 243-1809Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AETNA
Dental Care
phone(800) 259-2268Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AETNA DENTAL
Dental Care
phone(800) 268-9012Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(800) 321-0935Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CHESTERFELD RESOURCES, INC.
Dental Care
phone(800) 321-2843Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • THE HOLMAN GROUP
Mental Health
phone(800) 322-6384Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTI-CAL
Dental Care
phone(800) 323-5000Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CENTRAL STATES BENEFIT FUND
Vision (Optometry)
phone(800) 323-7268Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LINECO
Hospital, Hospital - Inpatient
phone(800) 335-8266Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF MO
Dental Care
phone(800) 341-8478Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MCNA DENTAL
Dental Care
phone(800) 367-9466Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAL CARE PLUS
Dental Care
phone(800) 373-3727Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • TELLIGEN
Hospital, Hospital - Inpatient
phone(800) 392-2161Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HEALTHNET FFS
Pharmacy
phone(800) 407-4627Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL BHA
Mental Health
phone(800) 414-5206Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CIGNA
Dental Care
phone(800) 421-5501Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(800) 438-6388Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • METLIFE
Dental Care
phone(800) 441-9188Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 450-3755Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(800) 451-0287Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 454-3730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(800) 467-1199Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(800) 487-0771Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MO CONSOLIDATED HC PLAN
Dental Care
phone(800) 494-6262Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MCNA DENTAL
Dental Care
phone(800) 508-6785Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(800) 509-2132Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(800) 521-3605Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEMED
Vision (Optometry)
phone(800) 524-0149Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
  • DELTA DENTAL OF OHIO
Dental Care
phone(800) 547-9515Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • STANDARD
Dental Care
phone(800) 575-7712Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • KPP
  • KROGER PRESCRIPTION PLAN
Pharmacy
phone(800) 635-1928Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BCBSIL
Hospital, Hospital - Inpatient
phone(800) 672-2378Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient
phone(800) 676-2583Eligibility / benefits, Other stated contextBenefit context: Other or Additional Payor; Benefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Active Coverage
  • ANTHEM BLUE CROSS BLUE SHIELD
  • BC/BS OF ARKANSAS
  • BCBS OF MISSISSIPPI
  • BCBSIL
  • BCBSNM
  • CAPITAL BLUE CROSS
  • CUSTOMER SERVICE
Health Benefit Plan Coverage, Health Benefit Plan Coverage, Urgent Care, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Hospital, Hospital - Inpatient, Physician Visit - Office: Well, Physician Visit - Office: Well, Urgent Care, Professional (Physician) Visit - Office
phone(800) 762-3159Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR DENTAL CARE
Dental Care
phone(800) 765-6003Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL OF CA
Dental Care
phone(800) 804-4384Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • COLE VISION
Vision (Optometry)
phone(800) 824-6349Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(800) 852-1091Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM BEHAVIORAL SOLUTIONS
Mental Health
phone(800) 854-7771Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDI-CAL LA CARE BHA
Mental Health
phone(800) 877-7195Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
  • VSP VISION CARE
Vision (Optometry)
phone(800) 942-0854Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • METLIFE
Dental Care
phone(800) 944-9587Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital - Inpatient
phone(800) 972-8088Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CUSTOMER SERVICE
Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Hospital - Outpatient, Vision (Optometry), Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Hospital - Emergency Medical, Emergency Services, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Hospital - Outpatient, Vision (Optometry)
phone(800) 977-2273Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAGELLAN
Pharmacy
phone(800) 987-8357Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(833) 227-0186Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 396-0317Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • INGENIORX
Pharmacy
phone(833) 485-6238Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CARELONRX
Pharmacy
phone(833) 812-1797Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 812-1800Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(833) 848-8730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(844) 239-7644Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • VSP
Vision (Optometry)
phone(844) 260-5889Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS CAREMARK
Pharmacy
phone(844) 265-1710Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(844) 550-2712Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS MEDCO
Pharmacy
phone(844) 616-2724Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MARCH VISION
Vision (Optometry)
phone(844) 826-3450Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDIMPACT
Pharmacy
phone(844) 910-3449Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(844) 912-1226Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Pharmacy
phone(855) 208-6575Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(855) 251-8826Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 558-1439Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 592-2895Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 690-7796Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(855) 811-2218Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(866) 208-5184Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM
Pharmacy
phone(866) 217-5347Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(866) 233-4239Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SAV-RX
Pharmacy
phone(866) 295-6206Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(866) 333-2757Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • NAVITUS
Pharmacy
phone(866) 352-8455Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(866) 544-2960Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS INC
Pharmacy
phone(866) 549-3531Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(866) 797-9884Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Hospital - Inpatient, Pharmacy
phone(866) 819-4298Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(866) 827-9866Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(866) 854-8850Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(866) 888-0103Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ALLEGIANT RX
Pharmacy
phone(866) 921-4047Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • TRUE RX
Pharmacy
phone(877) 207-1357Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS (ESI)
Pharmacy
phone(877) 217-1868Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS/CAREMARK
Pharmacy
phone(877) 265-5860Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(877) 449-6710Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM BEHAVIORAL HEALTH
Mental Health
phone(877) 604-2142Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DECARE DENTAL
Dental Care
phone(877) 735-9314Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEMED
Vision (Optometry)
phone(888) 202-1654Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
  • CVS CAREMARK (CVS)
  • CVS/CAREMARK
Pharmacy
phone(888) 215-8903Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • HMC
Dental Care
phone(888) 335-8296Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DELTA DENTAL
Dental Care
phone(888) 352-7924Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 359-1086Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 466-8673Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • METLIFE
Dental Care
phone(888) 581-3648Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • BLUE VIEW VISION
Vision (Optometry)
phone(888) 696-9533Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(888) 700-0992Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • LIBERTY DENTAL
Dental Care
phone(888) 737-7479Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ESI
Pharmacy
phone(888) 741-5232Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MED IMPACT
Pharmacy
phone(888) 752-7229Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(888) 788-3858Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM RX
Pharmacy
phone(888) 806-4969Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS
Pharmacy
phone(888) 964-0089Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CVS
Pharmacy
phone(310) 965-1100Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(323) 725-8751Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(800) 274-7767Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS OF CALIFORNIA
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 305-4271Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(800) 403-4160Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(800) 832-7850Other stated context, Utilization managementBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
  • UTILIZATION MANAGEMENT
Hospital, Urgent Care
phone(818) 265-5413Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(833) 206-0174Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 206-0178Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 405-9086Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic, Hospital
phone(833) 531-6294Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(833) 782-4905Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(833) 838-2595Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital
phone(844) 521-6942Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic, Physician Visit - Office: Well
phone(855) 343-4851Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(855) 961-5414Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 438-0184Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 470-6244Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 773-2884Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
phone(866) 871-1419Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(866) 898-9354Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(877) 284-0102Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(877) 499-1774Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(877) 867-7610Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital
phone(888) 763-5777Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(888) 779-7247Utilization managementBenefit context: Co-Insurance
  • UTILIZATION MANAGEMENT
Chiropractic
phone(909) 335-6462Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(909) 625-7175Utilization managementBenefit context: Co-Payment
  • UTILIZATION MANAGEMENT
Chiropractic
phone(800) 924-7141Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description
  • BLUECROSS AND BLUESHIELD OF TENNESSEE
  • MAGELLANRX
Hospital - Outpatient, Pharmacy
phone(855) 381-1661PharmacyBenefit context: Active Coverage
  • CVS CAREMARK
Pharmacy
phone(866) 325-1794PharmacyBenefit context: Benefit Description
  • OPTUM RX
Pharmacy
phone(866) 688-2242PharmacyBenefit context: Active Coverage
  • PRIME THERAPEUTICS
Pharmacy
phone(888) 286-3197PharmacyBenefit context: Active Coverage
  • CVS CAREMARK
Pharmacy
phone(855) 339-8558Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis
  • LUCET
Mental Health
phone(866) 322-1657Behavioral healthBenefit context: Active Coverage
  • BEHAVIORAL HEALTH MANAGER
Mental Health
phone(602) 864-4320Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 232-2345Other stated contextBenefit context: Benefit Description
  • BLUE CROSS BLUE SHIELD OF AZ
Hospital - Inpatient, Professional (Physician) Visit - Office, Hospital, Hospital - Outpatient
phone(800) 244-6224Other stated contextBenefit context: Other or Additional Payor
  • CIGNA HEALTHCARE
Health Benefit Plan Coverage
phone(800) 275-2583Other stated contextBenefit context: Limitations
  • AUTHORIZATIONS
Hospital - Inpatient, Hospital
phone(800) 282-4548Other stated contextBenefit context: Other or Additional Payor
  • AMBETTER HEALTH INSURANCE
Health Benefit Plan Coverage
phone(800) 392-7366Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF KANSAS
Health Benefit Plan Coverage
phone(800) 424-8270Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
phone(800) 452-8507Other stated contextBenefit context: Active Coverage
  • HIGHMARK MEDICAL MANAGEMENT & POLICY
Hospital
phone(800) 458-5512Other stated contextBenefit context: Other or Additional Payor
  • MEDICA INSURANCE
Health Benefit Plan Coverage
phone(800) 476-0677Other stated contextBenefit context: Non-Covered
  • SOUTHLAND NATIONAL INSURANCE CORP
Vision (Optometry)
phone(800) 541-6652Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 558-4444Other stated contextBenefit context: Other or Additional Payor
  • HUMANA
Health Benefit Plan Coverage
phone(800) 605-2556Other stated contextBenefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN
Hospital
phone(800) 664-2583Other stated contextBenefit context: Active Coverage
  • HORIZON BCBSNJ
Health Benefit Plan Coverage
phone(800) 678-9133Other stated contextBenefit context: Benefit Description
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
Chiropractic
phone(800) 786-7474Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
phone(800) 827-4814Other stated contextBenefit context: Limitations
  • SKAI BLUE CROSS AND BLUE SHIELD
Hospital - Inpatient
phone(800) 841-9659Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital
phone(800) 842-5252Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE
Health Benefit Plan Coverage
phone(800) 892-6116Other stated contextBenefit context: Co-Insurance
  • BCBSKC MED MGMT DEPT
Hospital - Inpatient
phone(800) 905-4102Other stated contextBenefit context: Active Coverage
  • BLUECROSS VISION
Vision (Optometry)
phone(800) 920-2485Other stated contextBenefit context: Active Coverage
  • EXCELLUS BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(800) 972-4226Other stated contextBenefit context: Benefit Description
  • ASH - AMERICAN SPECIALTY HEALTH NETWORK
Chiropractic
phone(800) 982-8089Other stated contextBenefit context: Co-Insurance
  • EMPIRE MEDICAL MANAGEMENT
Hospital
phone(800) 992-5498Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(833) 447-4397Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
phone(833) 462-0104Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
phone(833) 578-4441Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 592-9954Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Outpatient, Urgent Care
phone(833) 592-9956Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital, Hospital - Inpatient, Urgent Care
phone(833) 639-1634Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Outpatient, Urgent Care
phone(833) 639-1635Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(833) 663-8703Other stated contextBenefit context: Co-Insurance; Benefit context: Coverage Basis
  • CREDENCE BCBS
  • PA LOGIC SOLUTIONS
Hospital
phone(833) 663-8705Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
phone(833) 798-6733Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(833) 800-4033Other stated contextBenefit context: Coverage Basis
  • BCBSAL
phone(833) 953-1754Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient
phone(844) 241-7087Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital, Hospital - Inpatient
phone(844) 412-0889Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Hospital, Hospital - Inpatient, Urgent Care
phone(844) 682-1545Other stated contextBenefit context: Other or Additional Payor
  • SHOW ME HEALTH ADMINISTRATORS
Health Benefit Plan Coverage
phone(844) 759-4857Other stated contextBenefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
Urgent Care
phone(855) 288-8356Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
phone(855) 333-5730Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS OF CALIFORNIA
Hospital, Hospital, Hospital - Inpatient
phone(866) 205-5107Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
phone(866) 398-1922Other stated contextBenefit context: Co-Insurance
  • UM ORGANIZATION
Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 633-2446Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE
Health Benefit Plan Coverage
phone(866) 643-7087Other stated contextBenefit context: Co-Insurance
  • ANTHEM BLUE CROSS BLUE SHIELD
Hospital
phone(866) 678-7603Other stated contextBenefit context: Co-Insurance
  • QUANTUM
Hospital, Hospital - Inpatient
phone(866) 803-8002Other stated contextBenefit context: Coverage Basis
  • CARELON MEDICAL BENEFITS MANAGEMENT
  • EVICORE HEALTHCARE
phone(877) 233-1800Other stated contextBenefit context: Other or Additional Payor
  • UMR
Health Benefit Plan Coverage
phone(877) 392-9865Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A & PART B COVERAGE
  • MEDICARE PART B
Health Benefit Plan Coverage
phone(877) 535-2128Other stated contextBenefit context: Other or Additional Payor
  • AETNA
Health Benefit Plan Coverage
phone(877) 814-4803Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • ANTHEM BLUE CROSS AND BLUE SHIELD
  • UM ORGANIZATION
Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient, Hospital, Hospital - Outpatient, Urgent Care
phone(877) 842-3210Other stated contextBenefit context: Other or Additional Payor
  • UNITED HEALTHCARE
Health Benefit Plan Coverage
phone(888) 949-2352Other stated contextBenefit context: Co-Insurance
  • PATRIUS HEALTH
Hospital
phone(888) 953-6703Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • CARELON
Hospital
phone(800) 214-4844
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(800) 392-2512
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(800) 432-3990
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(800) 727-2227
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(800) 800-4298
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(844) 465-5227
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(877) 444-2374
  • ANTHEM BLUE CROSS BLUE SHIELD
phone(888) 233-8351
  • ANTHEM BLUE CROSS BLUE SHIELD

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Fax numbers16
Anthem Blue Cross Blue Shield Ohio fax numbers
Channel and numberPayer NotesDepartmentSpecialties
fax(866) 411-2573Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION
  • SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION
Hospital
fax(866) 411-2585Prior authorizationBenefit context: Co-Insurance
  • ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION
Hospital
fax(410) 781-7661Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • UTILIZATION MANAGEMENT
fax(323) 889-2100Other stated contextBenefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN
Hospital
fax(800) 348-3804Other stated contextBenefit context: Co-Insurance
  • BCBS OF MISSISSIPPI
Hospital
fax(833) 453-0101Other stated contextBenefit context: Coverage Basis
  • REACH KIDNEY CARE
fax(833) 610-1575Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
fax(833) 938-9934Other stated contextBenefit context: Co-Insurance
  • CREDENCE BCBS
Hospital
fax(844) 295-4637Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(844) 696-0975Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment
  • BLUE SHIELD OF CALIFORNIA
Hospital
fax(866) 606-6021Other stated contextBenefit context: Coverage Basis
  • PA LOGIC SOLUTIONS
fax(877) 665-5542Other stated contextBenefit context: Limitations
  • AMERICAN HEALTH HOLDING
Hospital, Hospital - Inpatient
fax(888) 656-6671Other stated contextBenefit context: Coverage Basis
  • PRIME THERAPEUTICS
fax(479) 527-2323
  • ANTHEM BLUE CROSS BLUE SHIELD
fax(501) 378-2562
  • ANTHEM BLUE CROSS BLUE SHIELD
fax(501) 379-1200
  • ANTHEM BLUE CROSS BLUE SHIELD

Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.

Retired numbers8

These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.

Member ID guidance

Read the prefix from the current card.

Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.

LNLNNNNNNNLL

Masked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.

Evidence

Source and verification

Prefix, home plan, and state
Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
Terminal payer and payer ID
Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
Availability signals
Substrate’s reviewed route configuration and claim-status network, checked .

Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.