Home
Forms Library
Authorization Request by Phone for Electronic Check/ACH - Anthem

Authorization Request by Phone for Electronic Check/ACH - Anthem 2025

Authorization Request by Phone for Electronic Check/ACH - Anthem Preview on Page 1

Show details

4 out of 5

32 votes

The document is an authorization request for Anthem Blue Cross to debit or credit a group's bank account for premiums or administrative fees via phone requests. It includes sections for group and financial institution information, outlines the terms of the authorization, and provides instructions for termination of the agreement. The authorization remains effective until a written notice is provided to Anthem.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to edit Authorization Request by Phone for Electronic Check/ACH - Anthem in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our comprehensive and user-friendly PDF editor is straightforward. Adhere to the instructions below to fill out Authorization Request by Phone for Electronic Check/ACH - Anthem online easily and quickly:

Sign in to your account. Log in with your credentials or register a free account to try the product before choosing the subscription.
Upload a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Authorization Request by Phone for Electronic Check/ACH - Anthem. Quickly add and highlight text, insert images, checkmarks, and icons, drop new fillable areas, and rearrange or delete pages from your document.
Get the Authorization Request by Phone for Electronic Check/ACH - Anthem completed. Download your updated document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to promptly manage your documentation online!

See more Authorization Request by Phone for Electronic Check/ACH - Anthem versions

We've got more versions of the Authorization Request by Phone for Electronic Check/ACH - Anthem form. Select the right Authorization Request by Phone for Electronic Check/ACH - Anthem version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4.1 Satisfied (49 Votes)
2012	4 Satisfied (32 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is prior authorization in Anthem?

Some drugs, and certain amounts of some drugs, require an approval before they are eligible to be covered by your benefits. This approval process is called prior authorization. Drug list/Formulary inclusion does not infer a drug is a covered benefit. Please check your schedule of benefits for coverage information.

What is the provider phone number for Anthem BCBS?

Non-participating providers: Call the number on the back of the members ID card or call 800-676-BLUE (2583) to reach Provider Services. You can also use chat or secure messaging directly in Availity.

How are prior authorizations processed?

The Prior Authorization Process Flow The healthcare provider must check a health plans policy or prescription to see if Prior Authorization is needed for the prescribed treatment. The healthcare professional must sign a Prior Authorization request form to verify the medical necessity claim.

How to check prior authorization status Anthem Blue Cross?

To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer (ICR) tool via Availity. Once logged in, select Patient Registration | Authorizations Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate.

How often is prior authorization denied?

CMS approved (or affirmed) coverage in the majority of prior authorization reviews it completed. CMS reported that 24.8% of requests were denied (or non-affirmed) in 2021, 27.6% of requests were denied in 2022, and 28.8% of requests were denied in 2023 (Figure 11).

How can I get prior authorization faster?

16 Tips That Speed Up The Prior Authorization Process Create a master list of procedures that require authorizations. Document denial reasons. Sign up for payor newsletters. Stay informed of changing industry standards. Designate prior authorization responsibilities to the same staff member(s).

What is the phone number for Anthem BCBS of Virginia prior authorization?

Call Member Services at 800-901-0020 (TTY 711).

Authorization Request by Phone for Electronic Check/ACH - Anthem 2025

Here's how it works

The best way to edit Authorization Request by Phone for Electronic Check/ACH - Anthem in PDF format online

See more Authorization Request by Phone for Electronic Check/ACH - Anthem versions

Complete this form in 5 minutes or less

Got questions?

What is prior authorization in Anthem?

What is the provider phone number for Anthem BCBS?

How are prior authorizations processed?

How to check prior authorization status Anthem Blue Cross?

How often is prior authorization denied?

People also ask

How can I get prior authorization faster?

What is the phone number for Anthem BCBS of Virginia prior authorization?

Related links

Try more PDF tools

Authorization Request by Phone for Electronic Check/ACH - Anthem 2025

Here's how it works

The best way to edit Authorization Request by Phone for Electronic Check/ACH - Anthem in PDF format online

See more Authorization Request by Phone for Electronic Check/ACH - Anthem versions

Complete this form in 5 minutes or less

Got questions?

What is prior authorization in Anthem?

What is the provider phone number for Anthem BCBS?

How are prior authorizations processed?

How to check prior authorization status Anthem Blue Cross?

How often is prior authorization denied?

Related Searches

People also ask

How can I get prior authorization faster?

What is the phone number for Anthem BCBS of Virginia prior authorization?

Related links

Try more PDF tools