Anthem Claim Dispute Form With Email In Riverside

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

Description

The Anthem claim dispute form with email in Riverside is a structured legal document used to address claim disputes between a creditor and debtor. It outlines the agreement made on a specific date, detailing the parties involved and the nature of the disputed claim. This form facilitates the resolution of disputes by allowing the creditor to release claims against the debtor in exchange for a payment. Users are instructed to fill in specific details, including dates, names, addresses, and monetary amounts. It is essential to clearly state the nature of the claim and reasons for denial to ensure all parties understand the terms. The form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants, as it streamlines communication and documentation related to dispute settlements. Filling out this form effectively can expedite the resolution process and minimize legal complications. When using the form, users should follow all protocols for proper completion and review to avoid any misunderstanding. Emailing the completed form can provide a record of communication between the parties, enhancing clarity and accountability.

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FAQ

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.

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.

Effective January 1, 2024, Anthem Blue Cross (Anthem) will exit 14 counties listed here: Alameda, Butte, Colusa, Contra, Costa Glenn, Mariposa, Nevada, Placer, Plumas, San Benito, Sierra, Sutter, Tehama, and Yuba.

Case Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

With the PPO, you can use any of the BCBS providers in all 50 states. They may not be directly contracted with the BS of CA, but as long as they participate with the BCBS in the state you see a provider in, they will file claims with that plan. Benefits would be covered at the in-network rates given that's the case.

Blue Shield sold Care1st Arizona to WellCare in 2017. Care1st California was renamed Blue Shield of California Promise Health Plan in 2019.

Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.) Questions? We're here to help.

Anthem Blue Cross is the trade name of In California: Blue Cross of California, Anthem Blue Cross Partnership Plan, Anthem BC Health Insurance Company and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.

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Anthem Claim Dispute Form With Email In Riverside