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Anthem

Contracting

Get Contracted

Information


Forms & Guides

Contact Information


Application Submission Options

  • Fax: 1-877-238-1107
  • Anthem Blue Cross and Blue Shield PO Box
    5028 Denver, CO 80217-5028

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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Physicians Mutual

Contact Information



Application Submission Options

  • Mail: 2600 Dodge Street Omaha,
    NE 68131

Information is subject to change. Please refer to carrier website for most up to date forms and guides.


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Capital BlueCross

Contact Information


Application Submission Options

  • Online enrollment
  • Fax: 1-855-493-9242
  • Mail: Liberty Bankers Life
    Insurance Company
    Administrative Office
    PO Box 15357
    Clearwater, FL 33766-5357
Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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Anthem Medicare Advantage

Contact Information


Application Submission Options

  • Online Enrollment
  • Fax: 1-800-833-8554
  • Mail: Anthem Blue Cross and Blue Shield 
    P.O. Box 659960
    San Antonio, TX 78265-9146

2025 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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CareFirst

Contact Information

Application Submission Options

MAPD Plans

  • Fax: 855-215-6948
  • CareFirst BlueCross BlueShield
    Medicare Advantage Enrollment
    PO Box 3236
    Scranton, PA 18505

D-SNP Plans

  • Fax: 443-753-2080
  • CareFirst BlueCross BlueShield
    Medicare Advantage
    Attn: Sales Department
    PO Box 915
    Owings Mills, MD 21117

2025 Certification Information

Information is subject to change. Please refer to carrier website for most up to date forms and guides.

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