Anthem Claim Dispute Form For Walmart Money Card In Contra Costa

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

Description

The parties may agree to a different performance. This is called an accord. When the accord is performed, this is called an accord and satisfaction. The original obligation is discharged. In order for there to be an accord and satisfaction, there must be a bona fide dispute; an agreement to settle the dispute; and the performance of the agreement. An example would be settlement of a lawsuit for breach of contract. The parties might settle for less than the amount called for under the contract.

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FAQ

Original (or initial) Medi-Cal claims must be received by the California MMIS FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.

Simply put, you can appeal if you think there is a logical and acceptable reason why the claim was false. It would probably be denied if there was no way to submit the claim within the time limit However, if you have a valid reason, this denial could get overturned, and your claim might be accepted.

You need to file your appeal within 60 calendar days from the date on the coverage determination/organization determination notice (denial letter) you received.

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.

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.

Anthem follows the standard of: • 180 days for participating providers and facilities. 210 days for nonparticipating providers and facilities. Timely filing is determined by subtracting the date of service from the date we receive the claim and comparing the number of days to the applicable federal or state mandate.

If you see unauthorized transactions, please promptly contact the financial institution that issued your card. Typically, there is a customer service number for your financial institution listed on the back of the card or on your billing statement.

The cardholder contacts the issuer and disputes the transaction. The cardholder can call the issuing bank, send an email, or mail a letter. The issuer might even have an online banking portal with a dispute feature.

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Anthem Claim Dispute Form For Walmart Money Card In Contra Costa