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 2 Points In Travis
State:
Multi-State
County:
Travis
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Anthem follows the standard of: • 90 days for participating providers and facilities.
Original (or initial) Medi-Cal claims must be received by the California MMIS FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.
Members have up to 180 calendar days from the date of an incident or dispute, or from the date the member receives a denial letter, to submit a grievance or appeal to Anthem Blue Cross.
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.
Members have up to 180 calendar days from the date of an incident or dispute, or from the date the member receives a denial letter, to submit a grievance or appeal to Anthem Blue Cross.
You need to file your appeal within 60 calendar days from the date on the coverage determination/organization determination notice (denial letter) you received.
Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.
Payer Name and ID Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.)
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.
More info
Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more. To initiate the formal dispute process, complete the 'Provider Dispute.Resolution Request' form, which is located in anthem. Email a Provider Experience associate. (AP) Quincy Ballard scored 14 of his 19 points in the second half and overtime to help Wichita State beat No. 14 Memphis 8479 on Sunday. In a surprising turn of events, Kylie Kelce revealed her husband, Philadelphia Eagles legend Jason Kelce, is not her emergency contact. Trump 2.0 hit the ground running, isn't leaking, and giving the media full transparency. Trump's crazy ideas are a negotiation strategy. On Tuesday, voters will go to the polls on Long Island to replace George Santos, who was expelled from the House.
