Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. What will my claims look like? CLAIM #1 You went to Ascension St. Vincent and saw a Tier 1 provider. Therefore, you received the highest level of benefits. Reference your Tier 1 benefits on your benefits summary guide. Do members need to get a referral from their PCP to see a specialist? HealthSync plans are open access, meaning that referrals are not required. What if I have more questions? Contact Customer Service at 833-578-4441. Our Customer Service team will simplify the healthcare experience, so you better understand your health situation and are able to find the right care at the right time – for the right cost. CLAIM #2 You went to IU Health and saw a Tier 2 provider. You stayed in-network, but your level of benefits were not as high as seeing a Tier 1 provider. Reference your Tier 2 benefits on your benefits summary guide. CLAIM #3 If you went to a provider that does not participate in HealthSync or Tier 2 PPO, you will have the highest out of pocket cost and providers may balance bill you for services. Reference your Out-of-network (Tier 3) benefits summary guide.