Anthem Claim Dispute Form With Provider In Minnesota

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

Description

The Anthem claim dispute form with provider in Minnesota is designed to facilitate the resolution of discrepancies between healthcare providers and Anthem insurance claims. This document enables providers to formally dispute a claim decision, outlining the reasons for the disagreement and providing necessary details about the claim. Users should fill in the required details, including specific claim information and the nature of the dispute, making sure to articulate their position clearly. It is essential for the target audience, including attorneys, partners, owners, associates, paralegals, and legal assistants, to approach this form methodically, ensuring that all relevant information is accurately documented. The clarity of this form helps streamline the dispute process, encouraging effective communication between providers and the insurer. Additionally, the form serves as a legal record, should the dispute escalate further, highlighting the importance of thoroughness in its completion. Understanding how to properly fill out and submit this claim can empower legal professionals to advocate effectively for their clients' rights. Overall, this form is valuable for dispute resolution, fostering better relationships between providers and insurers.

Form popularity

FAQ

Blue Cross Blue Shield describes the affiliation of 36 independent insurance companies, including Anthem. With all licensed organizations included Blue Cross Blue Shield has over 100 million health insurance customers. About 90 percent of all U.S. medical providers contract with a Blue Cross Blue Shield network.

Blue Cross Blue Shield of Minnesota, 3535 Blue Cross Rd, Saint Paul, MN 55122, US - MapQuest.

Blue Cross and Blue Shield of Minnesota is an independent licensee of the Blue Cross and Blue Shield Association, which serves more than 106 million members in all 50 states, Washington, D.C., and Puerto Rico.

Submitting claims to Blue Cross Your provider will submit the claim for you. If you visit an out-of-network provider, you will need to submit one of these claim forms to Blue Cross (the address is on the form): Claim form for medical services (PDF)

Effective today, providers currently mailing ADA paper claims for subscribers who have medical plan dental benefits to Blue Cross and Blue Shield of Minnesota (P.O. Box 64338, St. Paul MN 55164-0338) will need to submit them electronically through the dental clearinghouse Secure EDI.

Claim Submissions MHCP claims, including original claims, replacement claims (frequency code 7) and void claims (frequency 8) must be submitted to Blue Cross using payer ID 00726.

If you'd like to make a complaint or file an appeal about a claim that was denied, call customer service at the number on the back of your member ID card. If you are unable to resolve your complaint, you can file an appeal. Start by downloading the complaint/appeal form for your health plan.

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Anthem Claim Dispute Form With Provider In Minnesota