Member Self Submit Claims

Most of the time, your doctor or hospital handles the billing for you. However, if you see an out of network provider or receive care while traveling abroad, you may need to pay upfront and ask us for reimbursement. Please utilize the following links for claim form(s) and submission information. 

2025 Dates of Service:

Please complete and submit this form to shcr@abs-tpa.com. If you have any questions, please call our customer service department at 888-492-6811.

2026 Dates of Service:

Go to https://www.anthem.com/. You will be required to create a log in. When logged in click on Submit and Track Claims. Quickly and easily submit out-of-network claims online. If you have any questions, please call Anthem at 1-800-676-2583