What are the exceptions to BlueCard claims submissions?

Occasionally, exceptions may arise in which Anthem Blue Cross and Blue Shield will require you to file the claim directly with the member’s Blue Plan. Here are some of those exceptions:

• You contract with the member’s Blue Plan (for example, in contiguous county or overlapping service area situations).
• The ID card does not include an alpha prefix.

Occasionally, Anthem may request that you file the claim directly with the member’s plan. For instance, there may be a temporary processing issue at Anthem, the member’s plan, or both that prevents completion of the claim through the BlueCard Program. When in doubt, please send the claim to Anthem and we will handle the claim for you.