Anthem, Inc. Implementation Resources
myNEXUS is proud to announce its partnership with Anthem, Inc. to provide utilization management for home health services.
Important Network Delegation Announcement
- To view program announcements, please click here.
Please follow the links below for program materials:
Initial Authorization Form
Episodic Provider Authorization Form
Home Infusion Therapy Information
Claims: EFT Form
Claims: Appeals Form
Claims: Payment Dispute Request Form
HIPPS Code Requirement
myNEXUS Payer ID for Anthem: 34009
myNEXUS utilizes Interqual to facilitate appropriate evaluation of medical necessity by including assessment of the member throughout the continuum of care. A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 844-411-9622.
Provider Authorization Portal
Please contact the myNEXUS provider network team with any questions at provider_network@myNEXUScare.com.