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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Mailing address: Anthem Blue Cross. P.O. Box 60007, Los Angeles, CA 90060-0007.
Providers contact on members behalf: (800) 677- 6669 Interpretation: Instruct members to contact number on back of ID card. Providers: (800) 677-6669, request to speak to an interpreter.
Anthem follows the standard of: • 180 days for participating providers and facilities. 210 days for nonparticipating providers and facilities. Timely filing is determined by subtracting the date of service from the date we receive the claim and comparing the number of days to the applicable federal or state mandate.
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.
Provider Dispute Resolution Review Process Provider submits written dispute to Anthem Blue Cross at P.O. Box 60007, Los Angeles, CA 90060-0007.
Can't submit your replacement claim electronically? 1500 replacement claim to:UB-04 replacement claim to: Blue Cross Blue Shield of MA Data Capture P.O. Box 986020 Boston, MA 02298 Blue Cross Blue Shield of MA Data Capture P.O. Box 986015 Boston, MA 02298
In 2019, Anthem's denial rate was 35%. The average rate of denials in the industry currently hovers around 17%. Anthem has been repeatedly fined millions of dollars for reneging on their financial responsibility to patients and providers in variously creative ways, with denials figuring largely in this pattern.
Level 1 Appeal – call or write to Anthem to appeal the coverage decision Level 2 Appeal - conducted by an Independent Review Entity . This organization decides whether the decision we made should be changed.
Original (or initial) Medi-Cal claims must be received by the California MMIS FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.