Anthem Claim Dispute Form With Provider In Wake

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

Description

The Anthem claim dispute form with provider in Wake is a vital document for resolving claim disputes between healthcare providers and Anthem. It serves as a clear and structured way to submit disputes regarding claim denials or payment issues. The form allows users to outline the details of the claim, including the nature of the dispute and the specific reasons for the disagreement. Filling out this form requires accurate information about both the provider and the claim in question. Users should ensure they provide comprehensive details to support their case effectively. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants involved in healthcare law and insurance disputes. They can utilize it to advocate for clients, ensuring claims are reviewed and resolved appropriately. The straightforward design of the form facilitates ease of use, allowing legal professionals to focus on the merits of the dispute without unnecessary complications. Overall, this form is essential for navigating the complexities of insurance claims in a professional environment.

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