Anthem 151 form 2025

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4.9 out of 5

251 votes

The document is a Claim Information/Adjustment Request form designed for providers to submit inquiries or adjustment requests related to insurance claims. It includes sections for patient and provider information, claim details, and reasons for the request, ensuring all necessary data is provided for efficient processing.

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Click ‘Get Form’ to open the anthem 151 form in the editor.
Begin by entering the Insured's ID Number as shown on the Patient’s ID card. This is crucial for identifying the claim.
Select the Claim Type from options such as Professional, Facility, Dental, or Other Insurance if applicable.
Fill in the Patient’s Name and Account Number to ensure accurate processing of your request.
Provide details about the Claim Filed, including whether it was submitted via Paper or Electronic methods.
Complete sections regarding Dates of Service and Place of Treatment, ensuring all relevant information is included.
In the Additional Information section, describe any specific issues related to your claim and check appropriate boxes for adjustments needed.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the difference between an appeal and a grievance on Anthem?

A complaint (or grievance) when you have a problem with Anthem or a provider, or with the healthcare or treatment you got from a provider. An appeal when you dont agree with Anthems decision to change your services or to not cover them.

What is the Owens and Minor lawsuit with Anthem?

The case is a continuation of a years-long dispute with Anthem over the latters administration of the Plan. In 2023, Owens Minor sued in the same court to compel Anthem to turn over claims data that it had requested to monitor Anthems administration of the Plan and which Anthem claimed was confidential.

What is the lawsuit against Anthem Blue Cross?

In April 2024, CHA filed suit against Anthem Blue Cross in Los Angeles Superior Court alleging violations of Californias patient protection laws. The lawsuit claims Anthem failed to arrange and pay for post-acute hospital care under the Knox-Keene Act.

Can I still join the class action lawsuit?

You can still join a class action lawsuit, but not necessarily as the lead plaintiff. If you have suffered similar injuries as the lead plaintiff, you may be able to join a class action lawsuit against the defendant. In this case, youll be referred to as a class member.

How many people are in the Blue Cross Blue Shield settlement?

Now, eligible customers who filed a claim with Blue Cross Blue Shield could receive their payments. Settlement funds are expected to be distributed to approximately six million people.

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How much will each person get in the BCBS settlement?

However, if you are one of the six million people who filed a claim prior to the deadline in Nov. 2021, then you should check your email. Claim determination notices are being sent on a rolling basis, and checks of about $333 can be expected per-claim.

How do I file a reconsideration form for Anthem VA?

Written reconsiderations To submit a written reconsideration, use a blank Claim Information/Adjustment Request 151 Form, available online at Claims Forms. Once the form is complete, attach any necessary information and mail it to: HealthKeepers, Inc.