Resources & Forms

Commonly used forms, tools, and other resources that can help you better understand and use your health plan.

Medical Plan Resources

 

Resources to help you better understand and use your health plan.

 

 COVA Sydney Mobile App

 

 LODA Sydney Mobile App

 

 Check Claims Status

Requires log in or registration at anthem.com

 

 Anthem Member Discounts

Requires log in or registration at anthem.com

 

 Glossary of health care terms

 

 Commonwealth of Virginia Department of Human Resource Management (DHRM) Website

Forms

 

View and download commonly used forms.

 

 Adult Incapacitated Certification Form

 

 Member Authorization Form - Medical 

 

 Anthem Medical Claim Form

 

 Anthem Dental Claim Form

 

 Automatic Bank Draft Authorization Form

 

 Blue View Vision Out-Of-Network Claim Form

 

 International Claim Form (BlueCross BlueShield Global Core)