Anthem Claim Dispute Form With 2 Points In Arizona

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

Description

The Anthem claim dispute form with 2 points in Arizona serves to facilitate the resolution of disputes related to claims between creditors and debtors. This legal document provides a structured agreement that outlines the nature of the claim, the reasons for the claim's denial, and specifies a financial settlement agreed upon by both parties. Key features of the form include sections to clearly define the identities of the creditor and debtor, the amount to be paid, and the specific claims being released. Filling out the form requires both parties to provide detailed information about their addresses and the claims in question. Users must ensure that all entries are accurate and clearly stated to avoid future misunderstandings. The form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who deal with dispute resolution and debt management. It offers a clear framework for negotiating settlements while protecting the rights of both parties involved. By using this form, legal professionals can streamline the claims dispute process, thereby reducing potential litigation costs and fostering quicker resolutions.

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FAQ

Call customer service at (800) 232-2345, or the number on the back of your BCBSAZ ID card.

AZ Blue, a non-profit company, is an independent licensee of the Blue Cross Blue Shield Association. The company and its subsidiaries employ more than 3,200 people in its Phoenix, Flagstaff, and Tucson offices.

Timely filing Initial Claim: 6 months from the date of service (If HCP is primary, the claim timeliness changes to 7-months from the date of service or eligibility date). Corrected Claim: 12 months from the date of service.

Submit claims electronically to BCBSAZ (EDI Payer ID: 53589).

If you are looking to file a health or dental claim, you can do so by logging into My Health Toolkit. Once logged in, look under Claims & Authorizations and select File a Claim to get started.

Log into Availity Essentials. Select Claims & Payments from the navigation menu, then choose Claim Status. Search and locate the claim using the Member or Claim Number options. On the Claim Status results page, select Dispute Claim (if offered and applicable)

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Anthem Claim Dispute Form With 2 Points In Arizona