Welcome Providers

Access resources to help health care professionals do what they do best—care for our members.

Join Us!

 

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Important Announcements

Training opportunities

Use our library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. These learning opportunities will assist you in administering your patient’s health plan and provide you with the knowledge to best assist our members.

 

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AIM PT/OT/ST Prior Authorization - Update for State of Connecticut Members:

You may have experienced issues when submitting prior authorization requests for some State of Connecticut Employees.  Our systems have been updated for these members and we would ask that you please contact AIM to request prior authorizations or to let us know if you have experienced a claims denial for lack of prior authorization.

AIM PT/OT/ST Authorization Notice:

Anthem and AIM Specialty Health are partnering to improve the clinical review of PT/OT/ST Services when used to treat Autism Spectrum Disorder or Pervasive Developmental Delays as defined by DSM-5.

 

 Read more about the AIM PT/OT/ST Authorization updates

Thank you for being our superhero.

Please take a moment to view this brief message to our care providers.

Vaccine Resources

 

Vaccination is important in fighting against infectious diseases. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and our members against contagious illnesses.

Ensure our members are equipped to renew their Medicaid Benefits

 

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

 

For questions about eligibility, benefits, authorizations, claims status, and more, log into Availity Essentials and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

 

Medicaid Renewal Provider Overview 

Stay Up to Date With Provider News

 

Keep current with articles on claim filing, products, benefits, administrative updates, new or revised procedures and guidelines, prescription information and more.

 

 

 Read the Most Recent Provider News

Enjoy Easy Access to Policies, Guidelines and Manuals

 

Get Medical Policies, Clinical Utilization Management (UM) Guidelines, Provider Manuals and Pre-Certification/Pre-Authorization Requirements any time you need them.

 

See Policies, Guidelines & Manuals 

Featured Resources

Pharmacy Information 

 

Find drug lists, pharmacy program information, and provider resources.

Dental Provider Resources 

 

We offer deep discounts and one of the largest dental networks in the nation, along with ways to customize our plans for total flexibility.

Behavioral Health Provider Resources 

 

As the nation’s second largest health plan-owned company, Anthem Behavioral Health provides choice, innovation and access.

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Ready to become a provider in the Anthem network?

We look forward to working with you to provide quality service for our members.

 

Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place.

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