• Mail the completed form to: Anthem Blue Cross, P.O. Box 60007, Los Angeles, CA 90060-0007. Provider Name*:. Tax ID Number: National Provider Identifier (NPI) ...

Информация об этой странице недоступна. ·

To check claims status or dispute a claim: · From the Availity home page, select Claims & Payments from the top navigation. · Select Claim Status Inquiry from the ...

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.

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

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 ...

Blue Shield of California provider dispute resolution request. Instructions. Provider disputes must be submitted in writing to: Blue Shield Dispute Resolution ...

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

Edit, sign, and share anthem provider dispute form online. No need to install software, just go to DocHub, and sign up instantly and for free.

Failure to acknowledge an electronic provider dispute within two working days of the date of receipt of the electronic provider dispute.