Policy Updates Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

Case Management Program

Managing illness can sometimes be a difficult thing to do. Knowing who to contact, what test results mean or how to get needed resources can be a bigger piece of a healthcare puzzle that for some, are frightening and complex issues to handle.

 

Anthem is available to offer assistance in these difficult moments with our Case Management Program.  Our case managers are part of an interdisciplinary team of clinicians and other resource professionals that are there to support members, families, primary care physicians and caregivers.  The case management process utilizes 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 health care.

 

Members or caregivers can refer themselves or family members by calling the number located in the grid below.  They will be transferred to a team member based on the immediate need.  Physicians can also refer 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 that patients and caregivers are better prepared and informed about healthcare decisions and goals.

 

How do you contact us?

CM Email Address

CM Telephone Number

CM Business Hours

Case.management@anthem.com

 

 

National: NationalWest-CM@anthem.com

 

FEP:

FEP_PPO_Case_Mgmt@blueshieldca.com

Phone: 1-888-613-1130

 

 

National: 1-877-783-2756

888-574-7215 (Transplant)

 

FEP: 1-800-995-2800

1-800-711-2225 (HMO)

Monday - Thursday 8:00 am - 8:00 pm PT

Friday 8:00 am - 8:00 pm PT,

Saturday 8:00 am – 4:30pm PT

 

National: Monday - Friday 8am-9pm PST,

Saturday 9am-4:30pm PST

Monday-Friday 8:30am-5pm EST (Transplant)

 

FEP: Monday – Friday 8am-8pm PT

Saturday 8am-4:30pm PT