Anthem Claim Dispute Form With Email In Suffolk

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

Description

The Anthem claim dispute form with email in Suffolk is designed to assist users in formally disputing a claim with Anthem Health Insurance. This form includes essential sections where users can detail their claims, including the date, the parties involved, and the specific nature of the dispute. It is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants as it provides a structured format for documenting disputes clearly and effectively. Users should fill in the required fields with accurate information to ensure the claim is properly recorded. Instructions for editing include maintaining clarity and relevance throughout the document. The form is applicable in various scenarios, such as when an individual believes that a claim was unfairly denied or when there is a disagreement over the claim amount. By submitting this form via email, users can streamline the dispute process, making it easier to communicate with Anthem. Overall, this form serves as a critical tool in managing and resolving claim disputes efficiently.

Form popularity

FAQ

Since Anthem licenses with Blue Cross Blue Shield, it only offers its own health insurance brands in certain states, including California, New York, and a dozen more. If you don't live in a state with Anthem health insurance, you may want to search for your own regional Blue Cross Blue Shield regional company.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem BCBS Ohio, Kentucky, Indiana, Wisconsin 90 Days Wellmark BCBS Iowa and South Dakota 180 Days BCBS Alabama 2 Years BCBS Arkansas 180 Days28 more rows

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.

Services provided by Anthem HealthChoice HMO, Inc., and/or Anthem HealthChoice Assurance, Inc., Independent licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State.

Fax: 800-964-3627. Phone: 800-450-8753.

You can also call a representative at 800-300-8181 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. and on Saturday from 9 a.m. to 5 p.m. Eastern time.

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.

180-day timely filing limit.

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.

Please complete the clinical sections on this form and attach it to your request at to ensure a timely review. Providers outside of Minnesota without electronic access can fax this form, along with clinical records to support the request, to (651) 662-2810.

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Anthem Claim Dispute Form With Email In Suffolk