Anthem Claim Dispute Form With Two Points
Description
How to fill out Agreement For Accord And Satisfaction Of A Disputed Claim?
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FAQ
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.
The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action.
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.
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.
