Anthem Claim Dispute Form With Decimals In Michigan

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

Description

The Anthem claim dispute form with decimals in Michigan is a crucial document designed to address disagreements between parties regarding claims made for healthcare services. This form allows users to systematically detail the specifics of their dispute, ensuring clarity and precision in communication. It includes sections to outline the nature and source of the claim, which helps in understanding the basis of the dispute, as well as parts for detailed explanations from both the creditor and the debtor. Filling out the form requires careful attention to detail to ensure all decimals and amounts are accurately reported, as these figures are critical for the resolution process. The form serves a vital role for attorneys, partners, owners, associates, paralegals, and legal assistants by equipping them with a structured way to present and document disputes that may require legal intervention. Legal professionals can use the form to facilitate discussions, prepare for negotiations, or as a foundational element for possible litigation. It helps maintain a formal record of the dispute, which is essential for further proceedings or settlements. Overall, this form provides a standardized method for managing healthcare claim disagreements effectively.

Form popularity

FAQ

Are Anthem and Blue Cross Blue Shield of Michigan the same company? No, Anthem and Blue Cross Blue Shield of Michigan are two separate companies.

All claims must be submitted within the required filing deadline of 365 days from the date of service.

Anthem Inc., a separate company from Premera that is also an independent licensee of the Blue Cross Blue Shield Association, recently suffered a cyber-attack which has been widely reported in the media.

Blue Cross Complete doesn't require you to enroll with Change Healthcare to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of the Blue Cross Complete EDI payer ID 32002.

You have the right to voice your dissatisfaction with any aspect of Anthem' services for investigation and resolution by: Writing your grievance. Completing the online GRIEVANCE FORM. Calling our Customer Care Center at 800-407-4627 (TTY 711) Monday to Friday, 7 a.m. to 7 p.m. Pacific time.

You may submit a grievance to Blue Shield by calling (800) 393-6130, going online at blueshieldca, or by mailing your written grievance to Blue Shield of California, Appeals and Grievances Dept, P.O. Box 5588, El Dorado Hills, CA 95762.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem California 90 Days BCBS Illinois 180 Days Beacon Health 90 Days Blue Cross of California 180 Days28 more rows

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.

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Anthem Claim Dispute Form With Decimals In Michigan