Anthem (Medicare Advantage)
Medicare AdvantageVerified · August 2026National
Anthem Medicare Advantage plans (national; state-specific windows vary by Anthem licensee). Commercial, Medicaid, and other lines are separate entries.
- Standard timely filing
- 90 days
- Appeal filing window
- 365 days
- Prior authorization
- Not yet published
- Appeal channel
- Not yet published
- Provider portal
- Not yet published
- Verification
- Verified · August 2026by AR Guide team
Notes
Anthem Medicare Advantage plans (national; state-specific windows vary by Anthem licensee). Commercial, Medicaid, and other lines are separate entries.
- Standard filing limit
- 90 days
- Counted from
- date of service
- Appeal filing limit
- 365 days
- Appeal window from
- denial date
- Notes
- Anthem provider claims pages (IN/CA): Medicare Advantage claims must be submitted within 90 days of the date of service; reconsideration within 60 days of the initial determination (IN). Appeals: within 365 days of the claim determination (CA provider page). State-specific windows vary by Anthem licensee.
No contact information has been verified for this entry yet. AR Guide never publishes guessed numbers, portals or addresses.
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Portal
Not yet published for this entry. Portal capabilities and registration requirements are shown only when the official portal source states them.
Referrals
Not yet published for this entry. Referral requirements and retro-referral rules are published only when verified against a source.
Appeals
Not yet published for this entry. Appeal levels, filing channels and external-review options are published only when verified against a source.
Documentation requirements
Not yet published for this entry. Required documentation for appeals and additional-information requests is published only when verified against a source.
- Common CARCs
- 29
- Common RARCs
- MA119N29
- Top reasons
- Timely filing (CARC 29) — Anthem (Medicare Advantage) documents a 90-day claim-filing window from the date of service for Medicare Advantage claims (paired RARC MA119: provider-level adjustment for late claim filing).
Recent updates
Change log
- Verified timely filing · Aug 18, 2026Anthem — IN provider claims (Medicare Advantage 90-day filing window)Anthem — CA provider claims (365-day appeal window)
- Verified denial patterns · Aug 18, 2026Anthem — IN provider claims (Medicare Advantage 90-day filing window)Anthem — CA provider claims (365-day appeal window)
- Entry last reviewed · Aug 18, 2026Anthem — IN provider claims (Medicare Advantage 90-day filing window)Anthem — CA provider claims (365-day appeal window)
Contact information is provided for reference and is verified against the cited source as of the date shown. Payer contact information may change. Always confirm the appropriate contact for the member's plan and claim.
Source & verification
Directory record
- Geographic scope
- National
- Line of business
- Medicare Advantage
- Last reviewed
- Aug 18, 2026
- Verified by
- AR Guide team
- Anthem — IN provider claims (Medicare Advantage 90-day filing window) — https://www.anthem.com/in/provider/state-federal/claims/submissions-disputes
- Anthem — CA provider claims (365-day appeal window) — https://providers.anthem.com/california-provider/claims/claims-submissions-and-disputes