Anthem Claim Dispute Form With Decimals In Travis
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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.
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.
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.
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.
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)
