Anthem Claim Dispute Form With Two Points In Alameda

State:
Multi-State
County:
Alameda
Control #:
US-00435BG
Format:
Word; 
Rich Text
Instant download

Description

The Anthem claim dispute form with two points in Alameda is a legal document designed to facilitate the resolution of disputes between creditors and debtors. This agreement outlines the terms under which a debtor agrees to discharge certain claims made by a creditor in exchange for a specified payment. Key features of the form include sections for identifying the parties involved, listing the nature of the dispute, and detailing the reasons for denying the claims. It is crucial that users carefully complete each section to ensure clarity and mutual understanding. The form is particularly useful for attorneys and legal professionals, providing a structured way to formalize settlements and prevent future legal action. Paralegals and legal assistants can assist in filling out the details accurately to support their clients effectively. Additionally, this form can serve partners and owners in a business context, helping to resolve financial disputes amicably without resorting to litigation.

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FAQ

The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action.

Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.

Send this claim to: Blue Shield of California, P.O. Box 272540, Chico, CA, 95927-2540.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action.

When complete, please mail to: Attn: Grievance and Appeals Department, Anthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007. For claim disputes, please use the Provider Dispute Resolution form.

When complete, please mail to: Attn: Grievance and Appeals Department, Anthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007. For claim disputes, please use the Provider Dispute Resolution form. This information is part of the permanent record. Write clearly and legibly.

Case Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

Members have up to 180 calendar days from the date of an incident or dispute, or from the date the member receives a denial letter, to submit a grievance or appeal to Anthem Blue Cross.

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Anthem Claim Dispute Form With Two Points In Alameda