Anthem

Healthcare payer profile

Anthem

Private Health Insurance Companies

Anthem is a regional brand; local insurance issuers and plan networks vary by state.

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Official websiteanthem.com

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Payer details and reviews

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Organization: Anthem

Parent or affiliated organization: Elevance Health

Coverage: Medical insurance under Anthem-branded plans in participating states, including individual, family and employer coverage.

Official website: https://www.anthem.com/individual-and-family/health-insurance

Anthem is a regional brand; local insurance issuers and plan networks vary by state.

This independent page collects patient and healthcare-professional experiences with claim handling, payment, coverage decisions and appeals. Reviews are individual reports and are not a representative measure of an insurer’s overall payment rate.

Payer Accountability Report Card

Listed payer or program: Anthem (brand; issuer varies by state) · Scope: Multiple U.S. states; policy and legal entity specific

Verified public metrics and source references; these measures are not interchangeable.
Measure	Reported value	Year and source
NY DFS complaints closed	505	NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Anthem HealthChoice Assurance, Inc. legal issuer only; not all Anthem/Elevance plans, Medicaid or Medicare
NY DFS complaints upheld	225	NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Anthem HealthChoice Assurance, Inc. legal issuer only; not all Anthem/Elevance plans, Medicaid or Medicare
NY DFS upheld complaints per $1M premiums	0.0582	NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Anthem HealthChoice Assurance, Inc. legal issuer only; not all Anthem/Elevance plans, Medicaid or Medicare
NY DFS reported premiums	3,865.0	NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Anthem HealthChoice Assurance, Inc. legal issuer only; not all Anthem/Elevance plans, Medicaid or Medicare
Regulator-confirmed complaints	90	NY DFS 2025 Consumer Guide — 2024 Prompt Pay Complaints, printed p. 11 (2024) · 2024 New York EPO/PPO and commercial business; Anthem HealthChoice Assurance, Inc. legal issuer only; NY DFS upheld prompt-payment complaints (late claims processing), not overall complaints or claims-denial rate; excludes affiliates, Medicare and Medicaid

Official complaint, appeal and oversight resources

Find your state insurance department (NAIC) (Use the state where the insurance policy is issued; only state-regulated plans are within state DOI authority)
Federal health plan appeal and external review guidance (For eligible private health plans; deadlines and routes depend on coverage and plan type)

Measures may cover different plans, years and jurisdictions. External quality ratings, government complaint findings and anonymous Did They Pay? reviews describe different things. An absence of reported data does not mean zero complaints or zero denials.

Reviews and payment experiences

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