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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Anthem is not calling members regarding the cyberattack and is not asking for credit card information or social security numbers over the phone. All impacted members will receive notice via mail which will advise them of the protections being offered to them as well as any next steps.
Case Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.
Since Anthem licenses with Blue Cross Blue Shield, it only offers its own health insurance brands in certain states, including California, New York, and a dozen more. If you don't live in a state with Anthem health insurance, you may want to search for your own regional Blue Cross Blue Shield regional company.
Shopping Assistance Individual & Family Plans (under age 65): 1-844-290-7588. Medicare Supplement and Medicare Advantage Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Medicare Part D Plans: 4/1 – 9/30: Mon-Fri, 8 a.m. to 8 p.m. Employer Plan: Contact your broker or consultant to learn more about Anthem plans.
Mail original claims to BCBSIL, P.O. Box 805107, Chicago, IL 60680-4112.
Please fax to 1-855-516-1083. You may ask us to rush your appeal if your health needs it. We'll let you know we got your appeal within 24 hours from the time we received it.
How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) BCBS Michigan 180 Days 1 Year for BCBS Complete Plans Anthem California 90 Days BCBS Illinois 180 Days Beacon Health 90 Days28 more rows
Member Services representatives are available at 1-877-723-7702 (TTY: 711). We are available seven (7) days a week. Our call center is open Monday – Friday a.m. – p.m. Central time. On weekends and Federal holidays, voice messaging is available.