Participating Employer Contact sheet for SOCA BP

Billing Inquiries
(Questions regarding billing,
enrollment, and ID cards)

Medical and/or Vision:

Phone: (844) 348-6155
Email: MEWA@Anthem.com
Life/Disability:
Phone: (866) 551-0315
Fax: (614) 433-8302
Email: centralregion@anthem.com

Enrollment Applications
(Ongoing additions, changes
and terminations)

Dental Prime/Complete:
Phone: (877) 606-3409
Fax: (877) 803-2433
Email: askbilling@anthemdentaladmin.com
Medical and/or Vision:
Enrollment changes must be entered in FormFire
and then the employer must also submit the
changes to Anthem via fax at
1-800-883-7919
Life/Disability:
Enrollment changes must be entered in FormFire
and then the employer must also submit the
changes to Anthem via email
to CentralRegion@anthem.com
Dental Prime/Complete:
Enrollment changes must be entered in FormFire
and then the employer must also submit the
changes to Anthem via
email enroll@anthemdentaladmin.com or fax at
1-800-821-5946

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association.
ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield
Association.

Rev 11/10/16

Premium Payment Address

Premium Equivalent Rate:

EFT Withdraw
Life/Disability:
Anthem Life
Department L-8111
Columbus, OH 43268-8111
Dental Prime/Complete:
Anthem Dental
P.O. Box 202837
Department 83706
Dallas, TX 75320-2837
Vision:
Anthem Blue Cross and Blue Shield
PO Box 105673
Atlanta, GA 30348-5673

Customer Service Unit

(Handles member claim and
coverage inquiries)

PPO: (800) 552-9159

Lumenos: (888) 224-4902
Pharmacy/Mail Order: (800) 962-8192 or
(866) 216-5449
Life: (800) 552-2137
Disability: (800) 232-0113
Dental Prime/Complete: (877) 604-2156
Vision: (866) 723-0515

24/7 Nurse Line

PPO: (888) 249-3820

Lumenos: (866) 800-8780

Pre-certification Department

PPO: (877) 814-4803

Lumenos: (866) 398-1922

Provider Services

Medical: (888) 290-9160

Pharmacy (PPO): (800) 662-0210
Pharmacy (Lumenos): (800) 281-4880
Dental Prime/Complete: (877) 604-2156
Vision: (800) 521-3605

Behavioral Health

Phone: (800) 788-4003

BlueCard Customer Service

(coverage while traveling)

Phone: (800) 810-BLUE

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association.
ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield
Association.

Rev 11/10/16

E-business Help Desk

Phone: (866) 755-2680

Claims

Medical:
Anthem
P.O. Box 105187
Atlanta, GA 30348-5187
Pharmacy:
Express Scripts, Inc.
ATTN: Commercial Claims
P.O. Box 2872
Clinton, IA 52733-2872
Fax: (608) 741-5475
Pharmacy:
Mail order:
Express Scripts Home Delivery Service
PO Box 66772
St. Louis MO 63166-6772
Fax: (866) 312-7456
(must come from physicians office)
Life:
Anthem Life & Disability Insurance Company
Attn: Life Claims Service Center
P.O. Box 105448
Atlanta, Georgia 30348-5448
Phone: (800) 552-2137
Fax: (877) 305-3901
Email: lifeanddisabilityclaims@anthem.com
Disability:
Anthem Life & Disability Company
Attn: Disability Claims Center
P.O. Box 105426
Atlanta, GA 30348-5426
Phone: (800) 232-0113
Fax: (800) 850-0017
Email: lifeanddisabilityclaims@anthem.com
Dental Prime/Complete:
Anthem
Attn: Dental Claims
PO Box 1115
Minneapolis, MN 55440-1115

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association.
ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield
Association.

Rev 11/10/16

Blue View Vision:

Attn: OON Claims
PO Box 8504
Mason, Ohio 45040-7111
Appeals

Medical:
Anthem Appeals
PO Box 105568
Atlanta, GA 30348-5568
Prescription:
Fax: (800) 368-3238
Life/Disability:
Use general claim contact information (above)
Dental Prime/Complete:
Anthem
Attn: Dental Claims Appeals and Grievances
PO Box 1122
Minneapolis, MN 55440-1122
Blue View Vision:
555 Middle Creek Parkway
Colorado Springs, CO 80921

Life Conversion

Phone: (800) 801-6142

Fax: (614) 433-8316

Cobra Questions
(MyCobraPlan)

Email: JenniferO@BusinessPlansInc.com

FormFire Questions

Phone: (877) 504-5593

Email: support@formfire.com

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association.
ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield
Association.

Rev 11/10/16