Anthem 151 form 2025

See details

4.9 out of 5

251 votes

The document is a Claim Information/Adjustment Request form used for submitting inquiries or requests related to insurance claims. It requires detailed information about the insured, claim type, provider, and specific issues such as overpayment or underpayment. The form must be completed and mailed to designated addresses for processing.

Here's how it works

01. Edit your anthem 151 form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send anthem form 151 via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact Anthem 151 form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your documents online. Follow this simple guide to edit Anthem 151 form in PDF format online free of charge:

Sign up and sign in. Register for a free account, set a secure password, and go through email verification to start managing your forms.
Upload a document. Click on New Document and select the form importing option: upload Anthem 151 form from your device, the cloud, or a secure link.
Make changes to the template. Take advantage of the top and left-side panel tools to modify Anthem 151 form. Insert and customize text, pictures, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
Get your documentation completed. Send the sample to other people via email, generate a link for quicker file sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Discover all the advantages of our editor today!

See more anthem 151 form versions

We've got more versions of the anthem 151 form form. Select the right anthem 151 form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (251 Votes)
2002	4 Satisfied (20 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

151 form anthem

Anthem 151 form pdf Anthem 151 form download Anthem 151 form online Anthem provider appeal form PDF Claim Information/Adjustment Request 151 Form Anthem Virginia 151 form Anthem reconsideration Form Anthem bcbs VA appeal timely filing limit

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

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.

Anthem 151 form 2025

Here's how it works

How to rapidly redact Anthem 151 form online

See more anthem 151 form versions

Complete this form in 5 minutes or less

Got questions?

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

What is the Owens and Minor lawsuit with Anthem?

What is the lawsuit against Anthem Blue Cross?

Can I still join the class action lawsuit?

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

Complete this form in 5 minutes or less

People also ask

How much will each person get in the BCBS settlement?

How do I file a reconsideration form for Anthem VA?

bcbs va reconsideration form

Try more PDF tools