The parties may agree to a different performance. This is called an accord. When the accord is performed, this is called an accord and satisfaction. The original obligation is discharged. In order for there to be an accord and satisfaction, there must be a bona fide dispute; an agreement to settle the dispute; and the performance of the agreement. An example would be settlement of a lawsuit for breach of contract. The parties might settle for less than the amount called for under the contract.
Anthem Claim Dispute Form With Email
State:
Multi-State
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
How to fill out Agreement For Accord And Satisfaction Of A Disputed Claim?
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FAQ
Where can an appeal be filed? Mail your written appeal to: Anthem Blue Cross Cal MediConnect Plan. MMP Complaints, Appeals and Grievances. 4361 Irwin Simpson Road. ... Call Member Services at 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. This call is free. Fax your written appeal to 1-888-458-1406.
To check claims status or dispute a claim: From the Availity home page, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down menu. Submit an inquiry and review the Claims Status Detail page. If the claim is denied or final, there will be an option to dispute the claim.
Anthem follows the standard of: ? 90 days for participating providers and facilities.
Fax your written appeal to 1-888-458-1406.
It's best to file an appeal in writing, but you can call 1-855-690-7784 (TTY 711) to ask for one by phone. If you call to ask for an appeal, you must also send a written request within 10 calendar days of your verbal request. We'll let you know we got your request within five calendar days.
