![]() ![]() Please find important forms related to the myNEXUS Claims Process listed below.Įlectronic Funds Transfer (EFT) Enrollment: myNEXUS offers EFT payment options for providers. The myNEXUS payer ID for the Anthem delegation is: 34009. This document explains the IV therapy program in detail. Home Infusion (IV) Therapy: Home Infusion (IV) Therapy Information:myNEXUS is not delegated for IV Therapy. Re-Authorization Request Form:Fax form to use for re-authorization requests if needed.įax Confirmation Form: Online Form providers use to confirm their fax numbers for authorization requests. Initial Authorization Request Form:Fax form to use for initial authorization requests if needed. ![]() The Provider Portal can be found online here. Please note Risk plans are not included in this delegation.Īuthorization Requests: myNEXUS Provider Portal: myNEXUS encourages providers to utilize the online Provider Portal to submit authorization requests. In-Scope Plans: In-Scope Plan List:The list of in-scope Anthem plans for the myNEXUS delegation listed by state. Please complete the “Agency Information Form” to have your agency’s information added to the myNEXUS system.
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