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 Provider In Texas
State:
Multi-State
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
When submitting a corrected claim: Identify the Original Claim: Clearly indicate that the new submission is a corrected claim by referencing the original claim number. Label as “Corrected Claim”: Use the appropriate notation (often “Corrected Claim” or “Resubmission”) on the claim form or in the electronic submission.
Recreate the Claim In the Availity Essentials menu bar, select Claims & Payments, and then select either Professional Claim or Facility Claim under Claims, depending on which type of claim you want to correct.
BCBSTX only accepts medical records through the Availity Portal in response to requests for additional medical record documentation used for quality and risk adjustment purposes. Administrator Instructions: Select Availity Enrollment Center > Medical Attachments Setup, then enter required data.
Anthem and Blue Cross Blue Shield are related, but they are not the same company. While they are both top health insurance providers in the USA, the big difference is that Blue Cross Blue Shield is the umbrella that is made up of several independent companies, and one of these smaller companies is Anthem.
Provider Customer Service For commercial claims, if you have additional questions, call our Interactive Voice Response automated phone system at 1-800-451-0287. A document control number (claim number) is required when requesting to speak with an agent.
Complaints and Appeals. If you have a complaint about a service or care you received from Blue Cross and Blue Shield of Texas or one of our providers, please call a Customer Advocate at 1-888-657-6061 (TTY: 711). You can file a complaint by phone or ask for a complaint form to be mailed to you.
File electronically, as usual. File the claim in its entirety, including all services for which you are requesting reconsideration. BCBSTX will adjust the original claim. The corrections submitted represent a complete replacement of the previously processed claim.
Electronic claim submission maximizes claims processing efficiency and paper submissions do not. Any claim that can be submitted on paper can be submitted electronically. If you need more information on how to submit claims electronically call 1-800-AVAILITY (282-4548) or log on to Availity.
Provider Customer Service For commercial claims, if you have additional questions, call our Interactive Voice Response automated phone system at 1-800-451-0287.
