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Agreement for Accord and Satisfaction of a Disputed Claim

Anthem Claim Dispute Form For Walmart Money Card In Allegheny

Q: What is the timely filing limit for Anthem Blue Cross of California?

Anthem follows the standard of: 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

Category:

Civil Procedure - Accord and Satisfaction

State:

Multi-State

County:

Allegheny

Control #:

US-00435BG

Format:

Instant download

Description

The Anthem claim dispute form for walmart money card in Allegheny is designed to facilitate the resolution of disputes related to claims made on Walmart money cards. This form allows users to formally dispute a claim, providing clarity and structure to the process. Key features include sections for the identification of parties, detailed descriptions of the claims in dispute, and the basis for denial of claims. Users must complete all sections with accurate information, ensuring to specify dates, addresses, and the nature of the claims. It is essential to provide thorough details to support the dispute. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who are involved in managing or contesting claims. It streamlines communication between disputing parties, ensuring all relevant factors are documented properly for potential negotiations or litigation. Properly filling out this form can enhance the chances of reaching a satisfactory agreement between creditors and debtors.

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FAQ

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.

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

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.

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.

Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

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.

If you think we have made a mistake in denying your medical service, or if you don't agree with our decision, you can ask for an appeal. You must do this within 60 calendar days from the date on the Notice of Action sent to you. We will resolve your concerns within 30 days of receiving your complaint.

We also do not tolerate retaliation against anyone who raises a concern about harassment or discrimination. Report harassment or discrimination to your manager, People Lead, or Ethics & Compliance. Walmart does not tolerate discrimination or harassment based on an individual's: Race.

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.

Walmart takes all reported concerns or allegations seriously. We confidentially review each ethics allegation to determine if any law, policy or the Code of Conduct has been violated and assign for investigation where appropriate.