Email a provider relationship management representative

Please reach out to our team for additional assistance.

Wellpoint self-service tools

Did you know that most questions and issues can be resolved by using the Wellpoint self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with a Wellpoint associate from within the Availity Portal using Payer Spaces.

If you still need assistance, this form will let you contact a provider relationship management representative. First, please include the reference number provided to you from your live chat or phone call if available.

pewebform@anthem.com

Email a Provider Experience associate

Do you have a reference number or case ID?

Yes

A reference number is provided via Availity’s live chat or during a phone call with a representative. A case ID is assigned to existing requests.

Reference Number

*All fields are required unless noted as optional.

*First Name

*Last Name

Job Title (Optional)

*Business Email Address

*Phone Number

*Provider Type

Select Ancillary Type

Are you managed by Carelon?

*Provider Name

*Service Area Zip Code

*Tax ID Number (TIN)

National Provider Identifier (NPI) (Optional)

*Impacted Line of Business

Medicaid

Individual and Family/Commercial

Medicare/Medicare Advantage

Check all that apply.

*Category

*Subject

*Email Message

Interested in becoming a provider in the Wellpoint District of Columbia network?

We look forward to working with you to provide quality service for our enrollees.

Join our network

Email a provider relationship management representative

Wellpoint self-service tools

Reference number/case ID

Personal Information

Provider Information

Your Message

Interested in becoming a provider in the Wellpoint District of Columbia network?