Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location!

1 нояб. 2021 г. · Effective November 20, 2021, providers will now also be able to submit claim payment disputes via Availity for Anthem's Commercial lines of business.

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

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

Begin by visiting the Anthem website or contacting their customer service department to obtain the necessary forms for the dispute resolution process.

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.

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Quick guide on how to complete provider dispute resolution request form anthem · Create this form in 5 minutes or less · Video instructions and help with filling ...

15 дек. 2014 г. · Anthem shall make a determination of a provider dispute resolution request within forty- five (45) calendar days of receipt of all necessary ...

The Provider Dispute Resolution Request Form is located in the Forms Library of the Provider Resources page of our website at www.anthem.com/ca. For ...