Get Anthem Blue Cross Claims Form

Filing a claim with Anthem Blue Cross is essential for receiving benefits for covered health services. This guide provides a clear, step-by-step approach to completing the Anthem Blue Cross Claims Form online, ensuring a smooth submission process.

Follow the steps to fill out the Anthem Blue Cross Claims Form effectively

1. Press the ‘Get Form’ button to access the Anthem Blue Cross Claims Form and open it in your editor.
2. Begin by filling out the member information section. Include the member's name, ID number, relationship to the member, and daytime phone number. If applicable, provide details regarding Medicare coverage.
3. In the patient information section, enter the patient's name, date of birth, sex, occupation, and contact details. Make sure to state if the patient is covered by Medicare.
4. Complete the section regarding any other insurance coverage the patient may have, as well as information about the other parent's details, if the claim is for a dependent child.
5. Describe the patient's illness or injury, including the date of occurrence and relevant details about employment, if applicable.
6. For prescription drugs, list only those requiring a written prescription and fill in details such as the purchase date, drug name, diagnosis, and cost.
7. Upon completing all sections, ensure all bills are itemized and include the necessary details to avoid processing delays.
8. Finally, review the completed claim form, sign where required, and submit it along with all attached documentation to the address noted on the Anthem Blue Cross ID card.

Complete your claims form online today to ensure timely processing of your health care claims.