Anthem Fax Numbers for Grievances and Appeals

Anthem is a set of state plans, not one company

Anthem operates under a separate legal entity in each state it serves. Its own footer states the pattern: "Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association." Grievance and appeal addresses, and their fax numbers, belong to those state entities and to the specific plan type: commercial, Medicaid, Medicare Advantage, or a dual plan.

The table above is read from the pages where Anthem publishes a member fax openly: one Medicare complaints and appeals page that covers every state, with a medical line and a pharmacy line, and the Medicaid complaints and grievances pages for Indiana, New York, Ohio and Virginia. Anthem Blue Cross's Cal MediConnect appeals page gives (888) 458-1406 for MMP member appeals, the same digits as the national Medicare medical line.

If you are on a commercial plan in any state, the pages publish no fax; your route is on the denial letter. Nevada Medicaid takes grievances through the member portal or the mobile app, and California Medi-Cal takes them by mail, so neither has a line here. Anthem publishes no fax for requesting your own medical records; those live with the providers who treated you, not with the insurer.

Which Anthem line to use

Match the plan first, then the subject:

• A Medicare Advantage or Part D member in any state sends a written complaint or appeal to the medical line, or to the pharmacy line when the case is about a prescription drug.
• A Medicaid member in Indiana, New York, Ohio or Virginia sends a grievance or an appeal to that state's line. Indiana and Virginia list one number for both; New York's is printed in the plan's appeal-process documents.
• A state hearing or fair hearing request goes to the state agency, not to Anthem. The Anthem pages print those state fax numbers beside their own; they are not Anthem lines and are not in the table.
• A representative filing for you needs your written consent attached, which Anthem asks for before it will accept the filing.

What Anthem says about deadlines

Anthem's Indiana Medicaid page states that to appeal a grievance decision "within 60 calendar days from the day of our decision on the grievance resolution letter". Virginia's page describes a similar window for a denied service, and every denial notice prints the deadline that applies to that case. The Medicare page asks that you include your preferred contact information so Anthem can reach you with questions, so put a phone number or email on the cover sheet.

How to find your Anthem fax number when it is not above

In order of reliability:

• The Notice of Action or denial letter Anthem sent you. An appeal form is attached to it, and the routing on that letter is the correct one for your case.
• Your member portal or the Anthem mobile app, where grievances and appeals sit under Support.
• The complaints and grievances page for your state on anthem.com, reached by choosing your state first.
• Member Services at the number on the back of your ID card, who will read the fax number back to you.

A number from a third-party directory is the least reliable of these, because it does not know which state entity holds your case.

What Anthem members send

The paperwork that moves this way:

• A grievance about service, access, or quality of care
• An appeal of a denied service or a denied claim, with the denial letter attached
• A state hearing request, which for Medicaid members goes to the state agency rather than to Anthem
• Authorization for a family member or provider to file on your behalf, which Anthem requires in writing before it will accept the filing

A denial letter, an appeal form, and a doctor's letter is typically four to six pages.

How to fax Anthem without a fax machine

Create a free FaxTerra account with an email address, upload your appeal and attachments as a PDF or as phone photos, enter the fax number from the row above for your plan or from your denial letter, and send. Track delivery, since Medicaid and Medicare appeal windows are measured in days.

See how to send a fax for accepted files and page limits, how to fax an insurance claim for the general appeal process, and the Blue Cross Blue Shield guide for why Blue plans differ from each other.