Complex Case Management program

Managing illness can be a daunting task for our members. It’s not always easy for patients to understand test results, know how to obtain essential resources for treatment, or determine who to contact with questions and concerns.

Anthem is available to offer assistance in these difficult moments with our Complex Case Management program. Our case managers are part of an interdisciplinary team of clinicians and other resource professionals available to support members, families, providers, and caregivers. The complex case management process leverages the experience and expertise of the Care Coordination team to educate and empower our members by increasing self-management skills. The complex case management process can help members understand their illnesses and learn about care choices to ensure they have access to quality, efficient healthcare.

Members or caregivers can refer themselves or family members by calling the Member Services number located on their ID card. They will be transferred to a team member based on the immediate need. Physicians can refer their patients by contacting us via phone or visiting our provider website. We can help with transitions across levels of care so that patients and caregivers are better prepared and informed about healthcare decisions and goals.

You can contact us by phone at 833-869-5890. Case management business hours are Monday to Friday from 8 a.m. to 5 p.m.