Anthem Claim Dispute Form With Email In New York
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FAQ
Yes. We will retain the Blue Cross and Blue Shield and Blue Cross in our name. Anthem Blue Cross and Blue Shield and Anthem Blue Cross are our local health insurance companies in our 14 Blue-licensed markets and will continue to be our local health plan brands in those states, which now includes New York.
Anthem will consider reimbursement for the initial claim, when received and accepted within timely filing requirements, in compliance with federal, and/or state mandates. Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.
How do I dispute a claim? Empire BlueCross BlueShield HealthPlus New York Claims, P.O. Box 61010 Virginia Beach, VA 23466-1010.
This means all claims submitted on or after October 1, 2019, will be subject to a 120-day timely filing requirement, and Empire will refuse payment if submitted more than ninety 120 days after the date of service1.
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
This form must be submitted within 60 calendar days from the date of attestation denial/rejection. 3. This form must be sent to hit@health.ny from the CMS Registered contact email address on file with NY Medicaid.
A request for review must be made within 180 days after the claim payment date or the date of the notification of denial of benefits. You may submit an appeal by phone or in writing. You should state the reason why you believe the claim determination or precertification improperly reduced or denied your benefits.
If you are not sure if your group or practice is contracted with Anthem, please call Provider Services at 1-800-450-8753 to inquire.
Shopping Assistance Individual & Family Plans (under age 65): 1-844-290-7588. Medicare Supplement and Medicare Advantage Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Medicare Part D Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Employer Plan: Contact your broker or consultant to learn more about Anthem plans.
Fax: 800-964-3627. Phone: 800-450-8753.
