AdministrativeCommercialDecember 1, 2023

Case Management Program

Managing any illness can be a difficult thing to do. Knowing who to contact, what test results mean, or how to get needed resources is very important and can be overwhelming.

Anthem Blue Cross (Anthem) is available to help with our Case Management Program. Our case managers are part of an interdisciplinary team of clinicians and professionals that are here to support members, families, primary care physicians, behavioral health practitioners, and caregivers. The case management process uses the experience and expertise of the care coordination team whose goal is to educate and empower our members to increase self-management skills, understand their illness, and learn about care choices in order to access quality, efficient healthcare.

For physical health services, members or caregivers can refer themselves or family members by calling the number located below. They will be transferred to a team member based on their immediate need. Physicians can also refer their patients by contacting us telephonically or through electronic means. No issue is too big or too small. We can help with transitions across level of care so members and caregivers are better prepared and informed about healthcare decisions and goals.

For behavioral health or substance use disorder services, members can contact their health plan to verify benefits and access Anthem.com, or if an FEP member, fepblue.org, to search for and access behavioral health providers. It is best to have the member or member’s family contact our department directly to ensure privacy.

How do you contact us?

For commercial and exchange members, the member can contact customer service for assistance.

For FEP members, physical and behavioral health practitioners can refer to Anthem behavioral health case management with member consent by calling 800-711-2225 option 3.

Email address (if available)

Phone number

Business hours

California

Care.management@anthem.com

Phone: 888-613-1130

Transplant phone:

888-577-7215

Monday-Friday, 8 a.m.–10 p.m. PT

Saturday 8 a.mm–6 p.m. PT

Sunday 8 a.mm–6:30 p.m. ET

NICU/HROB CM:

Monday-Friday, 8 a.m.–7 p.m. PT

Transplant CM:

Monday-Friday, 8 a.m.–8 p.m.

National

Care.management@anthem.com

Phone: 877-783-2756

Transplant phone:

866-536-9897 x1664030784

Fax: 888-438-7051

Monday-Friday, 8 a.mp-9 p.m. PT

Saturday 9 a.m.-4:30 p.m. PT

Monday-Friday 8:30a.m.-5 p.m. ET (Transplant)

FEP

FEP_PPO_Case_Mgmt@blueshieldca.com

Phone: 800-995-2800

Monday-Friday, 8 a.m.-7 p.m. PT

Saturday 8 a.m.-4:30 p.m. PT

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: December 2023 Provider Newsletter