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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.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Payer Name and ID Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (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.)
Claims – Payor ID 76342 or 76343 Please contact us to discuss options for submitting attachments with your electronic claims.
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.
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
Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (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?
Our clearinghouse uses payer ID BS001 for Blue Shield, and BC001 for Anthem Blue Cross. In addition to reaching out to the payer directly to confirm where claims need to be submitted, you can also use this Claims routing tool.
After you submit the dispute, Walmart will communicate the dispute decision via email or you can track the approval status via the Disputes dashboard in Seller Center. Disputes are typically resolved within 24-48 hours of receipt. However, if additional information or approval is needed, it could take longer.
If you see unauthorized transactions, please promptly contact the financial institution that issued your card. Typically, there is a customer service number for your financial institution listed on the back of the card or on your billing statement.
Your payer name is Anthem BCBS Nevada and the payer ID is 00265 (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.)