Anthem Claim Dispute Form For Reimbursement In Los Angeles
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FAQ
How To Submit An Anthem Claim Yourself. Typically, your doctor or provider, especially if they're in your plan, will submit the claim for you. In some cases when you visit a doctor outside your plan, you may have to do this yourself. You can access claim forms in our Forms Library.
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.
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.
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.
Log into Availity Essentials. Select Claims & Payments from the navigation menu, then choose Claim Status. Search and locate the claim using the Member or Claim Number options. On the Claim Status results page, select Dispute Claim (if offered and applicable)
Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.
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.
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.
Send this claim to: Blue Shield of California, P.O. Box 272540, Chico, CA, 95927-2540.
