Anthem Claim Dispute Form For Providers In Georgia
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
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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.
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3350 Peachtree Road, N.E., P.O. Box 4445, Atlanta, GA 30302 As You read through it, remember "We", "Us" and "Our" refer to Blue Cross Blue Shield Healthcare Plan of Georgia. We use the words "You” and "Your" to mean each covered Member.
Product and Program Contact Information Additional Contact Information Membership Address Blue Cross and Blue Shield of Illinois P.O. Box 3004 Naperville, IL 60566-9747 Claims Address Blue Cross and Blue Shield of Illinois P.O. Box 805107 Chicago, IL 60680-4112 Human Resources Inquiries 866-977-73782 more rows
To avoid delays in receiving payments, behavioral health claims should be submitted to: BlueCross BlueShield of Tennessee P.O. Box 180150 Chattanooga, TN 37420 Some plans use other vendors for behavioral health administration (see member ID card for details).
3350 Peachtree Road, N.E., P.O. Box 4445, Atlanta, GA 30302 As You read through it, remember "We", "Us" and "Our" refer to Blue Cross Blue Shield Healthcare Plan of Georgia. We use the words "You” and "Your" to mean each covered Member.
Since 2014, Anthem Blue Cross and Blue Shield of Georgia (Anthem) has provided medical claims administration and medical management services for the State Health Benefit Plan (SHBP).
Blue Cross and Blue Shield of Georgia has been providing quality health benefits for residents of Georgia for more than 70 years. Carry with you the medical ID card that signifies quality health care coverage and receive your healthcare from one of the largest physician networks in the state of Georgia.
In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc.
3350 Peachtree Road, N.E., P.O. Box 4445, Atlanta, GA 30302 As You read through it, remember "We", "Us" and "Our" refer to Blue Cross Blue Shield Healthcare Plan of Georgia. We use the words "You” and "Your" to mean each covered Member.
Anthem Inc., a separate company from Premera that is also an independent licensee of the Blue Cross Blue Shield Association, recently suffered a cyber-attack which has been widely reported in the media.
