Anthem Claim Dispute Form With Two Points In Georgia
Description
Get your form ready online
Our built-in tools help you complete, sign, share, and store your documents in one place.
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.
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.
Looking for another form?
Form popularity
FAQ
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.
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
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).
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.
Send this claim to: Blue Shield of California, P.O. Box 272540, Chico, CA, 95927-2540. This form is to be used only when the provider of service does not submit your claim directly to Blue Shield.
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
