Submit a Claim

Claim Form Login

If Anthem, Inc. or Anthem UM Services, Inc. denied your claim for health insurance coverage for residential treatment of a mental health condition or substance use disorder between April 29, 2017, and April 30, 2025, you may be entitled to a payment from the proposed Settlement. If you are part of the Settlement, you only need to fill out a Claim Form if you want to ask for reimbursement from the Settlement fund for documented payments you or a family member made for your residential treatment. If you do not have documented treatment payments, you do not need to fill out a Claim Form and will automatically get at least a $100.00 payment, instead.

Anthem will set aside $12.875 million as part of the Settlement. This money will first be used to pay: (1) Court-approved attorneys’ fees and expenses; (2) incentive awards to the Class Representatives; and (3) the costs of administering the Settlement. Enough money to pay $100.00 to every Class Member will also be set aside. The money left over is called the Out-of-Pocket Reimbursement Fund.

Class Members who made documented out-of-pocket payments for residential treatment may submit a claim for a share of the Out-of-Pocket Reimbursement Fund. To qualify, you must meet all of the following criteria and submit a Claim Form and Proof of Payment before the deadline:

  • you are a Class Member;

  • you received residential treatment services;

  • Anthem denied your request for coverage of those residential treatment services based on a lack of medical necessity;

  • the denial was between April 29, 2017, and April 30, 2025;

  • either you or a family member paid out-of-pocket for your treatment; and

  • your treatment began either before the denial, or within 14 days after denial.

You can ask for reimbursement from the Out-of-Pocket Reimbursement Fund for up to 365 days of treatment. Individual payments to qualifying Class Members will be pro rata shares of this fund. The specific amount each qualifying Class Member will get is not known right now, but will be more than $100.00.

To qualify for a share of the Out-of-Pocket Reimbursement Fund, you must submit documentation, called “Proof of Payment,” that shows how much you paid for residential treatment services. Your documentation must include:

  • your name;

  • the name and address of the residential treatment center;

  • the dates of service for which your payment was made;

  • the date of your payment; and

  • the amount you paid.

You can submit more than one document if needed to show all of the required information. An account statement, invoice, bill, or receipt from the residential treatment center will usually include all of the required information, but you may submit any type of document as long as it is in the correct format, .jpg, .pdf or .png.

To receive payment for documented treatment payments, claim forms and documentation must be submitted online or postmarked no later than January 20, 2026.

To find more information about the lawsuit and Settlement, please visit the FAQs and Important Documents page. Documents page.

To start your online claim form, you must login with your Notice ID and PIN. You can find your Notice ID and PIN on the Notice that was sent to you. Please note, if you had more than one claim with Anthem, you will have multiple Notice IDs. For each Notice ID, if you wish to claim reimbursement from the Out-of- Pocket Reimbursement Fund, you must login and complete a Claim Form. If you are unable to locate your ID & PIN, please contact the Settlement Administrator by emailing info@Anthem-RTC-Criteria- Settlement.com or calling (844) 496-0857. Please request your Notice ID & PIN by providing your full name and mailing address.

You may also download a Claim Form here and submit it, along with your documentation, by U.S. mail to:

Collins, et al. v. Anthem, Inc.
c/o Settlement Administrator
P.O. Box 25226
Santa Ana, CA 92799

Your Claim Form and documentation must be submitted online no later than 11:59 pm Eastern Time on January 20, 2026, or postmarked no later than January 20, 2026. Your Claim Form will be rejected, and you will not receive a share of the Out-of-Pocket Reimbursement Fund, if you do not submit it on time.

Remember: To be valid, your Claim Form must be completely and accurately filled out, signed and dated, and must include all requested information. If your Claim Form is incomplete, untimely, illegible, or contains false information, it may be rejected.