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We look forward to meeting with you to discuss how we can assist you in managing your California Workers' Compensation costs.

Please complete the following questions to receive more information about the Workers' Compensation Managed Care Services Program.

'*'denotes a required field.

I am a:
Contracted Provider            (Please provide TIN or EIN) 
 Prospective provider
 Broker
 Workers' Compensation Insurer
 Self-Insured Employer (over 2000 employees)
 Consultant
 Other 

I am interested in:
 Network Access / Bill Review Program
 Medical Management Program
 Medical Provider Network
 Other 
 
*My Name: 
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*Phone: 
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Email Address: 
Comments or
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Serving California. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.