• For routine follow-up, please use the Claims Follow-Up Form. • Mail the completed form to: Anthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007.

1 янв. 2022 г. · How and when can an appeal be filed? You may file an appeal within 60 calendar days of the date on the letter we sent to tell you of our ...

INSTRUCTIONS: Please complete this form and attach all supporting documentation. Please send to P.O. Box 60007, Los Angeles, CA. 90060-0007 to the attention ...

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The grievance website is accessed at anthem.com/ca. Grievance forms are posted in both Spanish and English on the website. The completed grievance form is then ...

On this page you can easily find and download forms and guides with the information you need to support both patients and your staff.

Please complete the form below. Fields with an asterisk (*) are required. •. Be specific when providing the description of dispute and expected outcome.

Send the form and any supporting information to: Grievances and Appeals, P.O. Box 4310, Woodland Hills,. CA 91365-4310. Or, you may call the toll-free phone ...

Search enforcement actions by health plan name, organization name, action date(s), penalty amount(s), document category, or violation section.

Both forms are located on the Anthem Blue Cross website at www.anthem.com/ca > select: Providers > Provider Home > Answers @. Anthem > Provider Forms. Anthem ...