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Agreement for Accord and Satisfaction of a Disputed Claim

Anthem Claim Dispute Form With 2 Points In Fulton

Q: What is the timely filing limit for Anthem Blue Cross of California?

Anthem follows the standard of: 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

Category:

Civil Procedure - Accord and Satisfaction

State:

Multi-State

County:

Fulton

Control #:

US-00435BG

Format:

Instant download

Description

The Anthem claim dispute form with 2 points in Fulton serves as a formal document used to resolve disagreements regarding claims between creditors and debtors. It outlines the specifics of a disputed claim, including the amount in question and the nature of the claim being addressed. Key features include space for detailed descriptions of both the creditor's claims and the debtor's denials, ensuring all parties have a clear understanding of the issues at hand. Users are advised to fill in the required information accurately and sign the document in the presence of witnesses to make it legally binding. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants involved in disputes requiring documentation to formalize resolutions. By utilizing this form, legal professionals can streamline the settlement process, allowing for clear communication and agreement between parties. Additionally, the simple structure of the form makes it accessible for users with varying degrees of legal experience, promoting ease of completion and editing as necessary.

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FAQ

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

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem BCBS Ohio, Kentucky, Indiana, Wisconsin 90 Days Wellmark BCBS Iowa and South Dakota 180 Days BCBS Alabama 2 Years BCBS Arkansas 180 Days28 more rows

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.

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.

Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

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

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.