Anthem Claim Dispute Form With Two Points 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.
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.
How do I dispute a claim? Empire BlueCross BlueShield HealthPlus New York Claims, P.O. Box 61010 Virginia Beach, VA 23466-1010.
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.
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.
If you use a nonparticipating provider, continue to submit claims to UnitedHealthcare, P.O. Box 1600, Kingston, N.Y. 12402-1600. To confirm whether a provider participates in The Empire Plan, check the New York State Department of Civil Service web site, .
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.
Member ID prefixes are BAW, BGW, CFT, XNU, YXE. PPO/EPO offers our broadest in-network coverage providing greater access to high- quality care for New Yorkers. Member ID prefixes are KIH, NIW, VQA, ZVF, ZYL.
