How to conduct a monthly audit of your Anthem bill
We know you are busy keeping your business running, but we want to remind you of very
important steps you should take to ensure your monthly bills are what you expect them to be.
To help ensure the accuracy of your Anthem benefits, we want to remind you of the importance
and advantages of performing monthly audits of your Anthem bill.
Each month, we encourage you to review your monthly bill to verify the information we have is
the same as what you have in terms of employee and dependent coverage, coverage levels and
plans in place. You should do this review after Open Enrollment, as well as throughout the year
as qualifying life events occur. There are times we discover that employees that termed are still
listed on the bill, or new employees that have enrolled may be missing from the bill. Monthly
audits will prevent potential issues with employee coverage, particularly around any retroactive
enrollment change requests.
Due to the HCR IRS code section 6055 reporting requirements to demonstrate employers
are providing minimum essential coverage, Anthem will not accept retroactive enrollment
changes beyond 60 days on both fully insured and ASO contracts.
The process of auditing your monthly bill is an easy one. Just log onto anthem.com and follow
the instructions provided on the following pages. Be sure to register if you have not already
done so. Once registered, you can do these things online:
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View and audit your bill
Add, change and cancel coverage
Request and print ID cards
Pay bill online
Auditing your bill is quick and easy!
Here’s how to access a copy of your bill.
OPTION #1: Online through Employer Access
You will need to be registered to begin using Employer Access. Register here.
Once you have registered, select Employers and Kentucky from the drop down
menu on the home page.
Next, select Employer Access from the drop down menu and then click Login.
Next, select Billing from the menu at the top of the page to select from invoices that
have been billed.
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OPTION #2: By mail
Wait for the paper bill to arrive in the mail.
To audit a bill, you simply need to verify a few important items.
Always verify that active employees with coverage are listed on the bill with the following:
1. Correct Plan
2. Correct Subgroup
3. Appropriate Levels of Coverage
a. Family = A
b. Subscriber/Spouse = B
c. Subscriber Only = C
d. Subscriber/Child(ren) = D
4. Verify there are no termed members remaining on the bill
Need help with plan administration?
Check out our Employer Access User Manual which provides all the information group
administrators need to administer their health plan.
Once the audit is complete, a group administrator can submit any corrections directly to Anthem
by using Employer Access. This method is recommended as it will ensure a timely update and
help in establishing a habit of performing monthly audits. Otherwise, you can fax your changes
to Enrollment at 800-433-1360. Please be sure the group number, subgroup number and health
plan code are on all applications to ensure timely processing. If the application cannot be
processed due to missing information, Anthem will send a letter to you advising what is needed
to process the application. You can follow up after 7-10 business days to ensure members have
been termed or added correctly.
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For enrollment changes, Anthem will require the Employee Enrollment Application.
For changes to an employee’s benefits, submit the Employee Change Form
Application.
Submit the Employer Termination Form upon an employee’s termination.
Many things happen in the course of day-to-day business and sometimes it can be easy to
overlook simple items such as adding a new employee to a group plan within the 30-day
requirement.
For questions regarding Employer Access or auditing, please contact your broker or Anthem
representative.