Anthem Claim Dispute Form For Transunion In Virginia
Description
Form popularity
FAQ
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.
Anthem follows the standard of: • 90 days for participating providers and facilities. 180 days for nonparticipating providers and facilities (For dates of service prior to January 1, 2019, 12 months for nonparticipating providers).
Corrected claims and appeals have shorter deadlines, typically within 60-180 days of denial or payment.
TIMELY FILING The Medical Assistance Program regulations require the prompt submission of all claims. Virginia Medicaid is mandated by federal regulations 42 CFR § 447.45(d) to require the initial submission of all claims (including accident cases) within 12 months from the date of service.
Corrected claims must be received within 12 months of Explanation of Payment (EOP). Appeal deadlines: Claim payment reconsideration must be filed within 12 months of the EOP. Claim payment appeals must be filed within 15 months of service or 180 days from the reconsideration decision.
Anthem Blue Cross and Blue Shield operates Anthem KeyCare as a managed care health insurance plan (“called an MCHIP”) subject to regulation in the Commonwealth of Virginia by both the State Corporation Commission Bureau of Insurance pursuant to Title 38.2 of the Virginia Code and the Virginia Department of Health ...
Anthem Inc., a separate company from Premera that is also an independent licensee of the Blue Cross Blue Shield Association, recently suffered a cyber-attack which has been widely reported in the media.
Mail Personal Information: Name, DOB, Address, SSN. Name of company that reported the item you're disputing and the partial account number (from your credit report) Reason for your dispute. Any corrections to your personal information (address, phone number, etc.)
In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield, and its affiliate HealthKeepers, Inc. trades as Anthem HealthKeepers providing HMO coverage, and their service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123.
