Anthem Blue Cross and Blue Shield Provider Inquiry Refund Adjustment Form
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People also ask
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How do I contact Anthem Blue Cross Ohio provider relations?
By Phone: Call the number on the back of the member's ID card or dial 800-676-BLUE (2583) to speak to a Provider Service representative. -
How do I appeal an Anthem claim on availity?
Claim dispute From the Availity home page, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down menu. Submit an inquiry and review the Claims Status Detail page. If the claim is denied or final, there will be an option to dispute the claim. -
How do I appeal an Anthem denial?
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. -
How do I appeal my Anthem provider in Ohio?
You or your provider can request an expedited appeal. Call Member Services toll-free at 844-912-0938 (TTY 711), Monday through Friday from 8 a.m. to 7 p.m. Eastern time. When we receive your call, we will call you within 72 hours to tell you our decision. -
How do I write an Anthem appeal letter?
What do I include with my appeal? If your appeal is about a Part D drug: Your completed Redetermination Request Form. Your name, address and member ID number. Your reasons for appealing. Any information or evidence (documents, medical records) to support your appeal. -
Is Anthem the same as Blue Cross Blue Shield in Ohio?
In Ohio, Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensees of the Blue Cross and Blue Shield Association. ® Registered marks Blue Cross and Blue Shield Association. -
How do I appeal an Anthem claim on availity?
Claim dispute From the Availity home page, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down menu. Submit an inquiry and review the Claims Status Detail page. If the claim is denied or final, there will be an option to dispute the claim. -
What is the timely filing limit for Anthem Blue Cross CA corrected claim?
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: • For participating providers — within the 180 day timely filing period. For nonparticipating providers — within the 365 day timely filing period.
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