Anthem Claim Dispute Form With 2 Points In Queens

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

Description

The Anthem claim dispute form with 2 points in Queens is an essential document for resolving disagreements efficiently. It allows users to outline specific claims and demands related to a dispute, along with reasons for denial by the debtor. Key features include space for both creditor and debtor information, a detailed description of the dispute, and a signature section for both parties, ensuring that all agreements are properly documented. Filling out this form requires users to clearly state the nature of the claim, the amount involved, and specific reasons for any disagreements. Editing instructions are straightforward; users should ensure all sections are completed accurately to avoid any legal ambiguities. Target audience members, including attorneys, partners, owners, associates, paralegals, and legal assistants, will find this form useful for facilitating negotiation and settlement discussions. It serves to clarify obligations and protect the rights of both parties, making it a vital tool in legal proceedings. Additionally, the clear structure and language are designed to accommodate users with varying levels of legal expertise.

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FAQ

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

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.

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.

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

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.

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

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.

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.

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.

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Anthem Claim Dispute Form With 2 Points In Queens