Anthem Claim Dispute Form With Provider In Hillsborough

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

Description

The Anthem claim dispute form with provider in Hillsborough serves as a vital tool for resolving conflicts between healthcare providers and Anthem. This form allows providers to formally dispute claims that may have been denied or underpaid, streamlining the negotiation process. Key features of the form include spaces for the provider's and patient's details, a clear statement of the claim being disputed, and sections to specify the rationale behind the dispute. Filling out the form requires accurate and detailed information regarding the claim, ensuring all necessary documentation is attached for a prompt review. Editing instructions emphasize clarity and thoroughness to avoid delays in processing. Attorneys, partners, owners, associates, paralegals, and legal assistants will find this form particularly useful when representing clients facing unfair claim denials or when negotiating claim settlements, as it clearly outlines the opposing party's position and facilitates open communication. The form also highlights the importance of maintaining detailed records of claims and responses, which is crucial for any follow-up actions.

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FAQ

Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.

Non-participating providers: Call the number on the back of the member's ID card or call 800-676-BLUE (2583) to reach Provider Services. You can also use chat or secure messaging directly in Availity.

A complaint (or grievance) – when you have a problem with Anthem or a provider, or with the healthcare or treatment you got from a provider. An appeal – when you don't agree with Anthem's decision to change your services or to not cover them.

Professional Claims Submission Addresses ARKANSAS Arkansas BC & BS P.O. Box 2181 Little Rock, AR 72203 CALIFORNIA Anthem BC of California P.O. Box 60007 Los Angeles, CA 90060 CONNECTICUT Anthem BC BS of Connecticut P.O. Box 533 North Haven, CT 06473 DELAWARE HighMark P.O. Box 8830 800 Delaware Avenue Wilmington, DE 1989917 more rows

The Anthem Process is our unique way of working, which combines years of experience across specialties and the latest diagnostics with the support and accountability you need to make long-lasting change.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem BCBS Ohio, Kentucky, Indiana, Wisconsin 90 Days Wellmark BCBS Iowa and South Dakota 180 Days BCBS Alabama 2 Years BCBS Arkansas 180 Days28 more rows

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Anthem Claim Dispute Form With Provider In Hillsborough