Anthem Claim Dispute Form With Email In King

State:
Multi-State
County:
King
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

Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

You have the right to voice your dissatisfaction with any aspect of Anthem' services for investigation and resolution by: Writing your grievance. Completing the online GRIEVANCE FORM. Calling our Customer Care Center at 800-407-4627 (TTY 711) Monday to Friday, 7 a.m. to 7 p.m. Pacific time.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

You may submit a grievance to Blue Shield by calling (800) 393-6130, going online at blueshieldca, or by mailing your written grievance to Blue Shield of California, Appeals and Grievances Dept, P.O. Box 5588, El Dorado Hills, CA 95762.

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem California 90 Days BCBS Illinois 180 Days Beacon Health 90 Days Blue Cross of California 180 Days28 more rows

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.

Send this claim to: Blue Shield of California, P.O. Box 272540, Chico, CA, 95927-2540.

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.

More info

If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin the process.Please be complete in providing the necessary information, such as provider name and Tax ID, member name and ID. • Access to the form is available on anthem. Please complete the form below. Members can earn points in 2025 and redeem them in the Sharecare Redemption Center for a Sharecare Rewards Visa® Prepaid Card or well-being incentive credits. How to File a Grievance or Appeal. If you would prefer to send a written complaint you can mail or fax it using the information below. Fill out and submit this form. Call toll free: 1- or for hearing or speech impaired use TDD 1-. Our human-centered, tech-empowered navigation and care coordination platform delivers a personalized health benefits experience for you and your people.

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Anthem Claim Dispute Form With Email In King