Complaints

This profile includes complaints for Anthem Blue Cross And Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

close

Find a Location

Anthem Blue Cross And Blue Shield has 2 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

BBB accredited

Near

Country

USUnited States

Please enter a valid location.

Filter

• 

  Anthem Blue Cross And Blue Shield

  700 Broadway Denver, CO 80273-0001

• 

  Anthem Blue Cross And Blue Shield

  P.O. Box 173681 Denver, CO 80217

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:04/30/2025

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I was scheduling a doctor's appointment when the office asked about my insurance. I have ***** through my employer. They continued to ask about my secondary insurance, Anthem, Blue Cross. I DO NOT AND HAVE NEVER HAD Anthem, Blue Cross. I have no idea how this ended up attached to my name and insurance records, and because it is set up by state, I can not get help from anyone to help remove it! It is causing serious issues with billing for my office visits because it is showing as secondary insurance. I spoke with one representative out of ********** and even trying to pull it up by my SS number didn't work! Who can I contact to help with this? I DO NOT live in any of the states that this insurance provides in, so I have no clue who to even contact! I was able to get a partial ID number with the doctor's office's help, but because it shows as secondary insurance, I don't have anything else. There isn't a customer ********************** number to call because, again, it is all done per state. I need this removed! It is NOT MY INSURANCE. What a mess.

  Business Response

  Date: 05/07/2025

  It is unclear from the information in the complaint whether the secondary insurance is local to the member's residence in ********, or it is a Colorado plan.  Here is the contact information for Maryland (CareFirst BCBS of MD):  ************

  Here is the contact information for the Colorado plan: ************

• Initial Complaint

  Date:04/21/2025

  Type:Service or Repair Issues
  Status:

  UnresolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  We are trying to get in touch with Anthem Blue Cross, the insurance company, to verify and clarify our credentialing with them but we cannot get in touch with their credentialing department via phone nor online messaging . The credentialing phone number we were provided by Anthem agent was ************, which is the phone number of another company (CAQH) who is not related to Anthem at all. The Credentialing weblink (*************************) Anthem posted on its website is also for CAQH. This is negatively affect our services to our patients when Anthem makes it impossible for us, as a provider, to verify information with them, particularly with their credentialing department. We cannot provide appropriate services to our patients if we cannot talk with Anthem's credentialing department and correct any miss-information they have in regard to our provider's contract or credentialing with them.

  Business Response

  Date: 05/07/2025

  Anthem's provider web site includes the following instructions for beginning the credentialing process; 

  Credentialing Process
  
  1. Register with **** (if you are not already registered). You may self-register by visiting ****************. This is a secure and private website
  
  2. Authorize Anthem so we can access your credentialing information. If you are already registered with ****, you will need to give us permission to review your information
  
  3. If you need assistance, please review the New Provider Quick Reference Guide or call the **** Provider help line at ************.
  
  4. Review and update your application. Please ensure all sections of the application are complete and accurate.

  Customer Answer

  Date: 05/12/2025

   
  Complaint: 23232333
  
  I am rejecting this response because:  I need to talk directly with the business (or their credentialing department or provider relation).  We were a contracted provider with Anthem but now we were told by the customer ********************** that we are not contracted and by the **************** that we were only contract with our old address from two and a half years ago.  We had made all of the necessary updates as required, but Anthems representative from customer ********************** and provider service only have outdated information from three to ten years ago.  We need to talk to personnel from Anthem who has access to all systems so they can verify for us what they actually have at each department (such as claim department, provider relation department, customer ********************** department, etc.) and update our information at each department so they have our most current information all throughout their whole system.

  We have tried calling the provided phone number but cannot get through to the correct personnel from Anthem who can do all that.  The automated phone answering service keep transferring us to the claim department where the representative cannot help us.

  We need someone from Anthem to contact us directly via phone.
  

  ***** you!

  Sincerely,
  
  **-***** Do

• Initial Complaint

  Date:03/16/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Anthem has changed my PCP WITHOUT MY KNOWLEDGE OR CONSENT!! they now claim that i have a new PCP who IS NOT IN NETWORK!! MY PCP is and should be Dr. ******* HE IS IN NETWORK! This is now the SECOND TIME that Anthem has done this to me and last time in took them 6 incompetent months to get it sorted out! MY PCP IS DR ****** and I HAVE A MEDICAL CONDITION AND DO NOT WANT AND DO NOT APPROVE OF A CHANGE IN PCP ESPECIALLY WITHOUT KNOWLDEGE OR CONSENT!

  Customer Answer

  Date: 03/20/2025

  Anthem after REPEATED calls REFUSES to update PCP!!! My doctor's office called them on 3/19/25 with the required information. I have called Anthem MULTIPLE TIMES 3/20/25. First I was told they couldn't fix it. Then i was told the supervisor ***** would get back to me later in the day which NEVER HAPPENED! When attempting multiple calls to Anthem, I was place on hold and then HUNG UP ON!!! I tried to reach a supervisor for over an HOUR! NO SUPERVISOR was EVER reached! Anthem REFUSES to call my doctor for information, has assigned me a PCP OUT OF NETWORK, claims my doctor is not a current PCP and REFUES to send card with my PCP on it. Due the INCOMPETENCE of Anthem, now I have to go find a new PCP since they REFUSE to update my provider's infomation- even AFTER his office CALLED and updated it with Athem 3/19/25!

• Initial Complaint

  Date:03/08/2025

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have been paying my premiums monthly and on time, the latest being on 2/25/25 for the month of March. They even sent a confirmation email and showed online that I am paid up. Today I got an email claiming that I am past due for the March premium! I am not! They are trying to scam me out of an extra $227.57.Attached is confirmation for payments for January, February and March.

  Customer Answer

  Date: 03/18/2025

  Is there a way to change this to resolved? I wound up calling them for a different concern and they explained that the reason they say I was behind on premium payments was because the amount I thought was going towards the January payment was used to pay for an old premium that did not go through. They did not inform me back then, which is irresponsible on their part, but other than that, it turned out I did indeed owe them one more premium payment to be caught up.

• Initial Complaint

  Date:01/27/2025

  Type:Sales and Advertising Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I had a surgery with valley view hospital, this was not a workers comp claim and anthem is denying to pay this claim after I had met my deductible.

• Initial Complaint

  Date:12/28/2024

  Type:Sales and Advertising Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Anthem Blue Cross and Blue Shield has a provider search tool that lists local in-network providers that can be used for doctors visits. I have had some ongoing treatment with provider whose *** (National Provider Identifier) is listed as an in-network provider for Anthem. I have spoken to multiple support staff with Anthem who confirm that this provider is in-network. However Anthem has denied claims for the dates: 11/15/24, 11/08/24, 08/01/24, 07/19/24, 07/11/24, 07/05/24, 06/27/24, and 06/13/24. The reason these claims were denied is because they were "out-of-network". Anthem has paid numerous other claims with this provider as in-network. I have called multiple times and each time they say they need 60 days to review the claims. The 60 day period has passed and the claims were denied again. I don't believe that any genuine effort is going toward resolving this issue.I would like for Anthem to honor their EOB (Explanation of Benefits) by approving these in-network claims for a covered procedure.

• Initial Complaint

  Date:12/06/2024

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Anthem Blue Cross Blue Shield has been contacted numerous times by phone, email and internal messaging. I have only been able to talk with a call center and the employees have placed me on hold for long periods of time as though they have no idea how to understand their own practices and how claims work in addition to not being able to solve any problems. My daughter ********** ***** went for her 4 month well care visit on 10/28/2024 and the claim was denied. All wellcare visits are supposed to be covered 100%. I was told that we hit our maximum number of visits (there are 7 in a year) however, we have not. I asked for the claims that were accounting for the 7 visits and 4 of them were Lactation Consultant Appointments that are not wellcare visits and were also NOT covered 100%. I have the claims attached that are being adjudicated as wellcare visits and below are the *** codes. The Agent told me that the lactation visits are not coded as wellcare visits and should not be assigned as such. However, they couldn't do anything. I paid $135 to my pediatrician as a result that I should be paid back. DOS: 07/01/2024 Claim # *******MA8254 *** CODE: ***** , S9443 DOS: 07/03/2024 Claim# *******MB6729 *** CODE: ***** , S9443 DOS: 07/10/2024 Claim # *******ME8006 *** CODE *****, S9443 DOS: 08/06/2024 Claim # *******MC2427 *** CODE: *****, S9443 Anthem Blue Cross Blue Shield should also be looked into as many claims are being processed incorrectly and I cannot get a solid answer. I get responses from the internal message board that do not answer the question and answer other questions. When I call, no one has any understanding of how their systems work and I am placed on hold for very long periods of time. This has become a scam because they are denying more claims that should never be denied and you cannot get a hold of anyone that can do anything about it. The appeal process is very long and every appeal is still not properly reviewed or resolved.

• Initial Complaint

  Date:11/13/2024

  Type:Order Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have a contract as a network provider through Anthem **** since 11/15/21 and they are now processing my claims as an out of network provider since 10/21/2024, in breach of my contract and their member's contract of using a network provider. I have contacted credential multiple times. It has been confirmed by credentialing that I remain in network. However, claims continue to processed as out of network. I have contacted multiple departments at Anthem BCBS and have received no assistance other then to call a different department for assistance because their department does not handle this. Claims has told me to contact credentialing/Provider support and credentialing/provider support has told me to contact claims.

• Initial Complaint

  Date:09/28/2024

  Type:Service or Repair Issues
  Status:

  UnresolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Unable to get care after hours of just trying to get an appointment for a physical. Physical is covered under my plan with no deductible, but after hours on the phone with nice people, was given an appointment only to get a quote for the cost which was $270. I cancelled the appointment and am back at **********. This company assigned me an out of network provider which I couldn't correct on the website. It necessitated quite a bit on time and energy only to get an appointment (and was told I was not guaranteed routine bloodwork with this doctor) with someone who per my plan will cost me almost $300 to see for something that is supposed to be covered. It is clear this company wants to make it difficult and time consuming to get even basic care. It seems clear that they don't want you to use the insurance you paid for with ease, but they would rather you give up. The WORST experience with insurance I've had in my life.

• Initial Complaint

  Date:09/04/2024

  Type:Service or Repair Issues
  Status:

  UnansweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Claim for MRI was incorrectly denied. I appealed it, and that appeal was incorrectly filed so was denied. Filed a new appeal that was escalated, and they are now also saying denied as out of network. It is not out of network, as I verified with the facility and anthem before receiving **** Anthem also sent me a letter approving the **** Now they want to file another claim, and wait another ***** days. The most frustrating part of all this, is that THEY KEEP HANGING UP ON ME! Any time I relate that I am frustrated, or ask to speak to a supervisor, they just hang up. I find this unacceptable. I have called over 10 times, and spent hours on this.