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 Decimals In Montgomery
State:
Multi-State
County:
Montgomery
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Anthem has the best health insurance for most New Yorkers. Anthem has a rating of 4 out of 5 stars from HealthCare, which is among the best in the state. These ratings measure factors like customer satisfaction, quality of care and plan management. And most people in New York can get an Anthem plan.
BCBS Companies STATE/TERRITORYAVAILABLE COMPANIES New Mexico Blue Cross and Blue Shield of New Mexico New York Anthem Blue Cross Blue Shield Highmark Blue Cross Blue Shield of Western New York Highmark Blue Shield of Northeastern New York Excellus BlueCross BlueShield50 more rows
Services provided by Anthem HealthChoice HMO, Inc., and/or Anthem HealthChoice Assurance, Inc., Independent licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State.
Please fax to 1-855-516-1083. You may ask us to rush your appeal if your health needs it. We'll let you know we got your appeal within 24 hours from the time we received it.
Services provided by Anthem HealthChoice HMO, Inc., and/or Anthem HealthChoice Assurance, Inc., Independent licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State.
What states are covered by Anthem Insurance? Anthem, Inc. serves members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in other states.
To use the Appeals application, the Availity administrator must assign the Claim Status role for the user. The Disputes and Appeals functionality will support Appeals, Reconsiderations and Rework requests for providers. The Disputes and Appeals functionality is accessible from the Claim Status transaction.
You can also fax to 855-516-1083. Please be sure to mark "EXPEDITED" on the form before faxing.
After you fill out the form, Mail/Fax/deliver your request for a hearing within 33 days of the date of the notice you are appealing. Mail: FSSA Document Center PO Box 1810 Marion, Indiana 46952 Fax: 1-800-403-0864 Visit your local DFR/Medicaid Office.
