Anthem
Also known as Elevance Health, Anthem Blue Cross Blue Shield, Anthem BCBS, Anthem Blue Cross.
Anthem is one of the largest Blue Cross Blue Shield licensees in the country. It operates Blue plans across 14 states, including California, where it is known as Anthem Blue Cross, plus New York, Ohio, Indiana, Georgia, Colorado, Connecticut, Virginia, Kentucky, Missouri, Nevada, Wisconsin, Maine, and New Hampshire. In many of these markets, Anthem BCBS is the dominant commercial carrier, so its rates set the tone for what a region pays.
The parent company rebranded to Elevance Health in 2022, but providers and patients still search and contract under the Anthem name. DataLily Insights treats them as one entity, so whether you know it as Anthem, Anthem Blue Cross, or Elevance Health, you see the full picture in one place.
DataLily Insights is a healthcare intelligence platform built on more than 100 billion data points and over 10 million providers. Rose, the AI analyst, answers questions in plain language. Ask how Anthem reimburses a specific code in your market, how its share compares to other carriers, and whether your rates trail your peers.
What Insights reveals
What DataLily Insights reveals about Anthem
Every benchmark below runs across more than 100 billion data points spanning over 10 million providers, so you see Anthem the way the market actually pays.
Negotiated and allowed rates by CPT and market
See what Anthem allows for a given CPT or HCPCS code, broken down by state and metro. Because Anthem operates as Anthem Blue Cross in California and Anthem BCBS elsewhere, rates for the same code can look very different across its 14 states. Rose shows where Anthem pays richer or leaner so you can benchmark a contract before you sign it.
Payer mix and share
Understand how much of the commercial market Anthem holds in your area. In many of its states, Anthem is the largest Blue licensee and a major share of local volume. Rose shows where Anthem sits in your payer mix relative to other carriers, so you can weigh how much a single Anthem contract moves your overall rates.
Geographic and specialty strength
Anthem reach is concentrated in its 14 Blue states, and its strength varies by specialty and setting. See where Anthem is deep, from California to New York to the Midwest, and how its allowed amounts shift across surgical, procedural, and office-based care. Rose maps the footprint so you know where Anthem leverage is strongest.
Are you underpaid versus peers
Compare your Anthem rates against what similar groups command for the same codes in the same market. Rose flags where you trail the benchmark and by how much, in plain language. Walk into your next Anthem or Elevance Health renewal knowing exactly where you are underpaid versus peers.
Ask Rose
Questions to ask Rose about Anthem
Rose answers in plain language, charts the result, and ends with a recommendation. Bring one of these to a demo.
FAQ
Anthem reimbursement, answered
Is Anthem the same as Elevance Health?
Which states does Anthem cover?
How can I see Anthem reimbursement rates for a specific CPT code?
How do I know if Anthem is underpaying my practice?
Related payers
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Cigna
Understand how Cigna Healthcare reimburses your codes and whether your commercial rates hold up versus peers.
Blue Shield of California
How Blue Shield of California pays across the state, by CPT, market, and specialty.
Blue Cross Blue Shield of Michigan
Know how Blue Cross Blue Shield of Michigan pays your specialty, and whether your contract keeps pace with peers.
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