Anthem Forms and Information Page

Customer service (800) 552-9159

• Enrollment form

• Enrollment change form

• Handicapped dependent form

• Mental Health Authorization pg 1

• Mental Health Authorization pg2 

• RX Direct form

• Rx Direct information

• Rx Prior Authorization form

• Rx reimbursement pg1

• Rx reimbursement pg2

• Schedule of Benefits

• Anthem special discounts program

• Understanding your explanation of benefits

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