Anthem Claim Dispute Form With Insurance
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FAQ
You may file an appeal within 60 calendar days of the date on the letter we sent to tell you of our decision. You might be able to file an appeal even if 60 days have passed since we made our first decision. Tell us in your written request why you could not file within the 60 days allowed.
If a dispute involves a lack of a decision, it must be submitted within 365 days, or the time specified in the provider's contract, whichever is greater, after the time for contesting or denying a claim has expired.
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.
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.
For providers assisting members filing expedited grievances and appeals, please use the fax number 1-855-516-1083. Please begin using this number immediately when assisting members. Anthem Blue Cross and Blue Shield offers an expedited grievance and appeal process for decisions involving urgently needed care.
