Anthem Claim Dispute Form With Provider In Wake

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

Description

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.

Form popularity

FAQ

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.

For help, call us at the number listed on your ID card or 1-866-346-7198.

Medi-Cal Managed Care (Medi-Cal) Anthem Blue Cross is the trade name of Blue Cross of California.

Providers: Telephone Service Center: (800) 541-5555. Provider-Telecommunications Network (PTN): (800) 786-4346. Out-of-State Provider Support: (916) 636-1960.

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

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

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Anthem Claim Dispute Form With Provider In Wake