Anthem Claim Dispute Form With Decimals In Georgia

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

Description

The Anthem claim dispute form with decimals in Georgia is a vital tool for individuals and legal professionals involved in claim disputes. This form facilitates an agreement between a Creditor and a Debtor regarding a disputed claim, ensuring clarity in both parties' responsibilities. Users fill out crucial information, including the date, names, addresses, and details of the disputed claims and demands. It is essential for the Creditor to specify the nature of the claim while the Debtor can express their denial of the claims. Legal practitioners, such as attorneys and paralegals, can leverage this form to streamline dispute resolutions, enhancing the efficiency of negotiations. Partners and owners may use the form to document formal agreements that can protect their interests in business disputes. The form's simplicity allows associates and legal assistants to complete it accurately, minimizing the risk of errors. Overall, this form serves different purposes depending on the audience's role, making it a flexible resource in legal contexts.

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FAQ

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).

The original claims to be submitted within 180 days or 6 months from date of service. A claim that was denied for missing or erroneous information be resubmitted to correct the misinformation within 3 months from the month of the date of service or when the denial occurred; whichever is later.

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 follows the standard of 365 days for participating and 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.

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.

Member Services 855-641-4862.

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Anthem Claim Dispute Form With Decimals In Georgia