Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Anthem Blue Cross and Blue Shield before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Anthem Blue Cross and Blue Shield fax number

(877) 628-4593

Used for: Submitting Anthem BCBS health plan forms by fax (examples include dependent coverage certification, automatic premium payment authorizations, and enrollment/change forms). The same fax number is used for form submissions and related notices, varying by state.

Fax destination details

Purpose
Submitting Anthem BCBS health plan forms by fax (examples include dependent coverage certification, automatic premium payment authorizations, and enrollment/change forms). The same fax number is used for form submissions and related notices, varying by state.
Form
FR 01 22 — Overage Dependent Certification

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill in all required fields; mail or fax the completed form to Anthem BCBS using the state-specific address shown on the form; for questions, contact Anthem Member Services.

Sources and verification

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