Anthem Claim Dispute Form For Reimbursement In Bexar

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

Description

The Anthem claim dispute form for reimbursement in Bexar is a critical document for individuals seeking to dispute a claim and request reimbursement from their insurance provider. It outlines the process for initiating a formal claim dispute and provides a clear structure that users must follow to ensure their claims are addressed. Key features of the form include sections for personal information, details of the claim being disputed, and the reasons for the dispute, enabling claimants to present their case coherently. Filling and editing instructions emphasize the need for clarity and accuracy in providing information, ensuring that all relevant details are captured. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants working on behalf of clients who have faced claim denials or discrepancies. It empowers legal professionals to advocate effectively for their clients' rights to reimbursement. Furthermore, the form offers guidance on documentation that may need to accompany the claim, helping users understand the importance of substantiating their disputes with appropriate evidence. Overall, the Anthem claim dispute form is a vital tool in navigating the complexities of insurance claims and disputes in Bexar.

Form popularity

FAQ

Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.

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.

Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.

For help, call us at the number listed on your ID card or 1-866-346-7198.

Medi-Cal Managed Care (Medi-Cal) Anthem Blue Cross is the trade name of Blue Cross of California.

Providers: Telephone Service Center: (800) 541-5555. Provider-Telecommunications Network (PTN): (800) 786-4346. Out-of-State Provider Support: (916) 636-1960.

-Timely filing is within 180 days of the date of service or per the terms of the provider agreement. Out-of-state and emergency transportation providers have 365 days from the last date of service.

Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.

180-day timely filing limit.

Anthem will consider reimbursement for the initial claim, when received and accepted within timely filing requirements, in compliance with federal, and/or state mandates. Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

Trusted and secure by over 3 million people of the world’s leading companies

Anthem Claim Dispute Form For Reimbursement In Bexar