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The document is a Member Claim Form for Anthem Blue Cross, designed for members to report covered health services that have not been billed directly by healthcare providers. It includes sections for patient and subscriber information, medical details, and instructions for submitting claims with required documentation. The form emphasizes the need for itemized bills and provides guidance on where to send claims based on service location.

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How do I contact Anthem Blue Cross California?

Care Management support is available 24/7 through Anthem Blue Cross Cal MediConnect Plan Customer Care at 1-855-817-5786.

How do I dispute a claim with Anthem?

Where can an appeal be filed? Call Member Services at 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. This call is free. Fax your written appeal to 1-888-458-1406.

What is Anthem timely filing for corrected claims?

The corrected claim must be received within the timely filing limit due to the initial claim not being considered a clean claim. Anthem follows the standard of: \u2022 For participating providers \u2014 within the 180 day timely filing period. For nonparticipating providers \u2014 within the 365 day timely filing period.

anthem claim form california

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How do I submit reimbursement to Anthem BCBS?

Log on to Anthem > My Plan and choose "Claims" from the drop-down menu. Scroll to the "Submit a Claim" button at the bottom of the page. Enter the requested contact and claims information and submit.

How do I submit a claim to Blue Cross Blue Shield Montana?

Checking via Telephone Commercial claims 800-447-7828* Federal Employee Program (FEP) claims 800-634-3569. Healthy Montana Kids (HMK) claims 855-258-3489. Medicare Advantage claims Individual: 877-774-8592 and Group: 877-299-1008. Claims and Eligibility | Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Montana provider claims-and-eligibil Blue Cross and Blue Shield of Montana provider claims-and-eligibil

How do I submit an insurance claim to Bcbsil?

Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility). Claim Submission | Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Illinois claims claims-eligibility clai Blue Cross and Blue Shield of Illinois claims claims-eligibility clai

How do I submit a claim to Blue Cross Blue Shield North Carolina?

How to submit claim forms. You can download the claims forms you need, fill them out, and submit them to the listed mailing address, email, or fax number provided. Read each form carefully for important details about additional documents you may need to send with your completed claims form.