Anthem Claim Dispute Form For Reimbursement In Wayne

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

Description

The Anthem claim dispute form for reimbursement in Wayne is designed to facilitate the process of disputing a claim for reimbursement with Anthem. This form allows users to clearly outline the nature of their claim dispute, including specific details regarding the services rendered and the reasons for seeking reimbursement. It includes sections for both the Creditor and Debtor to provide their information and detail the disagreement about the claim. The form emphasizes the need for clarity, requiring users to articulate both the claims being disputed and the defenses against those claims. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who may be handling client disputes regarding healthcare reimbursements. These users can leverage the form to represent clients effectively, ensuring all necessary details are documented for resolution. Guidance on filling out the form includes providing exact amounts and dates, and both parties must sign the document to validate the agreement. Overall, the Anthem claim dispute form supports the efficient handling of disputes, helping legal professionals advocate for their clients' right to reimbursement.

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FAQ

Anthem Blue Cross is the trade name of In California: Blue Cross of California, Anthem Blue Cross Partnership Plan, Anthem BC Health Insurance Company and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.

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

With the PPO, you can use any of the BCBS providers in all 50 states. They may not be directly contracted with the BS of CA, but as long as they participate with the BCBS in the state you see a provider in, they will file claims with that plan. Benefits would be covered at the in-network rates given that's the case.

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

How to Find Timely Filing Limits With Insurance Insurance CompanyTimely Filing Limit (From the date of service) Anthem BCBS Ohio, Kentucky, Indiana, Wisconsin 90 Days Wellmark BCBS Iowa and South Dakota 180 Days BCBS Alabama 2 Years BCBS Arkansas 180 Days28 more rows

Effective Date: January 1, 2024 Plan NameSingle (1)Two-Party (2) Anthem Blue Cross Del Norte EPO $1,240.19 $2,480.37 Anthem Blue Cross Select HMO $944.08 $1,888.16 Anthem Blue Cross Traditional HMO $1,221.90 $2,443.80 Blue Shield Access+ EPO $910.34 $1,820.6815 more rows •

Anthem will consider reimbursement for the initial claim, when received and accepted within timely filing requirements, in compliance with federal, and/or state mandates. 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.

180-day timely filing limit.

-Timely filing is within 180 days of the date of service or per the terms of the provider agreement. Out-of-state and emergency transportation providers have 365 days from the last date of service.

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Anthem Claim Dispute Form For Reimbursement In Wayne