Anthem Claim Dispute Form With Email In Wake

State:
Multi-State
County:
Wake
Control #:
US-00435BG
Format:
Word; 
Rich Text
Instant download

Description

The Anthem claim dispute form with email in Wake is a specialized document designed to facilitate the resolution of disputes related to Anthem claims. This form provides a structured way for users to outline the specific claims in question, detailing the nature and source of each claim. Ideal for use by attorneys, partners, owners, associates, paralegals, and legal assistants, it supports the negotiation and settlement process between creditors and debtors. Key features include a section for the creditor to specify the amount owed and a declaration of claims, which helps to clarify the dispute and ensures proper documentation of the agreement. Users should complete the form clearly, including all relevant details and signatures, and can submit it via email for convenience. This form is particularly useful in scenarios where a swift resolution is desired, helping parties to agree on terms and settle disputes without extensive litigation. Overall, the Anthem claim dispute form with email in Wake serves as a practical tool for legal professionals managing claim disputes efficiently.

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FAQ

Send this claim to: Blue Shield of California, P.O. Box 272540, Chico, CA, 95927-2540.

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.

You can also call a representative at 800-300-8181 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. and on Saturday from 9 a.m. to 5 p.m. Eastern time.

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.

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.

Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.

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.

You have the right to voice your dissatisfaction with any aspect of Anthem' services for investigation and resolution by: Writing your grievance. Completing the online GRIEVANCE FORM. Calling our Customer Care Center at 800-407-4627 (TTY 711) Monday to Friday, 7 a.m. to 7 p.m. Pacific time.

Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.

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.

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Anthem Claim Dispute Form With Email In Wake