Anthem Claim Dispute Form With Email In Alameda

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

Description

The Anthem claim dispute form with email in Alameda is designed for users wishing to resolve disputes related to claims effectively. This form facilitates communication between the debtor and creditor, enabling a clear settlement agreement to be established. It includes essential sections where users can specify the date, parties involved, payment details, and particulars regarding the claims being discharged. Users are instructed to outline the claims in question, followed by the debtor's denials to these claims. The form allows for straightforward editing, making it easy to fill in pertinent details. This document serves as an invaluable resource for attorneys, partners, owners, associates, paralegals, and legal assistants who handle claim disputes. They can use this form to negotiate agreements efficiently, ensuring that the claims are formally addressed. Its clarity and structure support users in maintaining legal compliance while facilitating an amicable resolution. Additionally, by incorporating email communication in the process, it streamlines the exchange of information, making dispute resolution more accessible to all parties involved.

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FAQ

Contact your agent for personalized help. You may also call Anthem Blue Cross at (833) 933-0806 or Covered California at (800) 300-1506.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem California 90 Days BCBS Illinois 180 Days Beacon Health 90 Days Blue Cross of California 180 Days28 more rows

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.

You may submit a grievance to Blue Shield by calling (800) 393-6130, going online at blueshieldca, or by mailing your written grievance to Blue Shield of California, Appeals and Grievances Dept, P.O. Box 5588, El Dorado Hills, CA 95762.

You have the right to voice your dissatisfaction with any aspect of Anthem' services for investigation and resolution by: Writing your grievance. Completing the online GRIEVANCE FORM. Calling our Customer Care Center at 800-407-4627 (TTY 711) Monday to Friday, 7 a.m. to 7 p.m. Pacific time.

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.

When complete, please mail to: Attn: Grievance and Appeals Department, Anthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007. For claim disputes, please use the Provider Dispute Resolution form. This information is part of the permanent record. Write clearly and legibly.

Case Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

Claim forms are available by logging into the member website at blueshieldca or by contacting the benefit administrator. Please submit your claim form and medical records within one year of the service date.

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Anthem Claim Dispute Form With Email In Alameda