Get Anthem Wgs

Filling out the Anthem Wgs form can be a straightforward process when you know what to do. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Anthem Wgs form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter your member number in the designated field. This number is crucial for identifying your account.
3. Fill in the group number associated with your plan. This helps link your claim to your specific group coverage.
4. In the patient information section, provide the name of the person who received the services, including last name, first name, and middle initial.
5. Select the patient's sex by marking either 'male' or 'female'.
6. Indicate the number of items attached to your claim by noting the quantity in the specified field.
7. Select the relationship to subscriber by choosing one of the options: self, child, spouse, or other.
8. Provide the patient’s date of birth by filling in the month, day, and year.
9. In the primary member information section, enter the name, address, city, state, and zip code of the primary member.
10. If applicable, check the box if you have a new address.
11. Answer whether the patient is covered by any other group health care plan or Medicare. Select 'yes' or 'no'.
12. If applicable, specify if the condition was related to an automobile accident or employment by answering the respective questions.
13. If you answered 'yes' to the previous questions, fill out the policyholder's name, policy number, date of birth, insurance company's name, type of coverage, and the insurance company's address.
14. In the medical information section, indicate whether this claim is for an illness or injury and provide the date of injury if applicable.
15. Describe the illness or injury that required treatment in the provided space.
16. Explain how the injury occurred, if applicable.
17. Obtain the patient’s or authorized person’s signature in the designated area and date the form.
18. Ensure to check the information for accuracy before proceeding.
19. Finally, you can save your changes, download, print, or share the completed form as needed.

Complete your Anthem Wgs document online today for a seamless claims process.