Important information about utilization management
You can request a free copy of our UM criteria from our Medical Management department. Providers can discuss a UM denial decision with a physician reviewer, by calling us toll free at the numbers listed below. To access UM criteria online, go to https://mediproviders.anthem.com/wi/Pages/manuals-directories-training.aspx.
You can request a peer-to-peer review at 262-523-2425.
We are staffed with clinical professionals who coordinate our members’ care and are available 24/7 to accept precertification requests. Secured voicemail is available during off-business hours. A clinical professional will return your call within the next business day. Our staff will identify themselves by name, title, and organization name when initiating or returning calls regarding UM issues.
You can submit precertification requests by:
- Calling us at 855-558-1443.
- Faxing to 800-964-3627.
Have questions about utilization decisions or the UM process?Call our Clinical team at 855-558-1443, Monday through Friday, from 8 a.m. to 5 p.m. CT.
November 2022 Anthem Provider News - Wisconsin