PPO Plans
When you see in-network providers, there are no claim forms to fill out. Your provider handles all the paperwork.
If you see an out-of-network provider for medical or behavioral health services or use an out-of-network pharmacy, it's up to you to submit a claim for reimbursement for services received or prescriptions.
The easiest way to file an out-of-network claim is to start with Accolade. Call (866) 406-1182 (Monday–Friday, 5 a.m.–8 p.m. PT) or visit the digital member portal. Accolade will direct you to the correct forms and answer any questions you have.
If you prefer, you can file out-of-network medical and behavioral health claims directly with Anthem through the Sydney Health app. Download it through the App Store or Google Play.
File out-of-network pharmacy claims through the Navitus member portal.
UC Blue & Gold HMO
Except for emergencies, only services provided through Health Net and MHN network providers are covered. To file claims for out-of-network emergency care, contact Health Benefit Navigators at (800) 539-4072, Monday–Friday (8 a.m.–5 p.m. PT) or email askblue&gold@healthnet.com.