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.
Anthem Claim Dispute Form With Two Points In Michigan
State:
Multi-State
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
For professional and facility claims with all service dates prior to Jan. 1, 2024, please submit your claims to MI Health Link using payer ID 38224.
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five characters, but it may be longer. It may also be alpha, numeric, or a combination.
Blue Cross Complete doesn't require you to enroll with Change Healthcare to submit electronic claims. If you already use another EDI vendor to submit claims electronically, inform your vendor of the Blue Cross Complete EDI payer ID 32002.
All claims must be submitted within the required filing deadline of 365 days from the date of service.
The Payer ID is MCDIL. To identify the payer on the CMS-1500, select “Other,” rather than “Medicare” or “Medicaid” in field 1. For the Insured's ID Number, use the member ID exactly as it appears on the member's BCBSIL ID card, including the alpha prefix (XOG).
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.
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.
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.
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.
