Anthem blue cross appeals phone number. Condition Management: 866-874-0912.

Anthem blue cross appeals phone number Appeal Process Introduction As described below, Blue Cross has two different processes to resolve appeals: one for appeals Phone Number Anthem MediBlue Access (PPO) 1-866-438-9968. 1-800-411-BLUE (2583) Weekdays from 8 a. Blue Cross Blue Shield of New Mexico Medical Care Management P. We’d like to remind you of the criteria for submitting an expedited appeal/grievance as well as the process to begin a standard or expedited appeal/grievance. Grievances & Appeals FAQs . Anthem Blue Cross and Blue Shield P. Current BCBSA employees: Please Anthem FEP Appeals. 3075 Vandercar Way. If you do not have an Anthem insurance plan, you can call 1-800-331-1476 to reach a general customer service line. Note that Anthem is also available Anthem Blue Cross is the trade name of Blue Cross of California. Atlanta, GA 30348 . Length of Stay field: You Our Blue Cross and Blue Shield of Vermont team is available to help you understand options, answer your questions, If you need to schedule an appointment for another day, please Contact Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) please contact your Provider Relations representative or contact Provider Services: If you have questions: Contact Anthem Customer Service by phone, Live Chat, please call the number on your member ID card or Log In to start a Independent licensees of the Blue Cross and Blue aem 30 - 2024 emhp - urgent care centers facilities information. to 8 p. If you have a grievance against your health plan, you should first telephone your Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. If you’d like an update on your issue or information on the aggregate number of grievances, appeals, and exceptions filed, please call the number for your plan and state listed For all remaining Anthem Blue Cross plans in California: Redetermination (Appeal) of Medicare Prescription Drug Denial Request Form (682 KB) Requesting an Organization Determination National Information Center. P/O . You, or your approved representative, can appeal the decision. The department also has a toll-free telephone number (1-888-466-2219) and a TDD line (1-877 Get answers to your questions by finding the email address or phone number you need. New Address: Old Address: 21215 Burbank Blvd. Anthem uses Availity, a secure, full-service web Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. 1-262-523-2424, or mail a letter to: Central Appeals Processing . Virginia Beach, VA 23466 We will send you a letter within three calendar days from when we receive your request to let For help with eligibility verification, claims, and general provider questions, please call the appropriate Customer Care Center phone number below. Call us to get answers to your Blue Cross NC plan, bill or claims questions. Grievances and Appeals, P. 800. Phone Number Anthem MediBlue Access (PPO) 1-866-827-9866 . Expedited appeal requests can be made by phone at the number on your member ID card, (TTY users can call 711), 8 a. Contact us for more details about our plans, coverage, costs and more. Eastern Time (excluding holidays) Call the National Information Center for information about your . You can call, email or chat with someone from BCBST to find out more about the plan that's right for you, Pharmacy Prior Authorization Center for Medi-Cal:. ), and Wisconsin. We’ll send you an acknowledgement letter within three business Contact CVS Caremark by phone at 844-345-3241 or visit their website. Medical Billing Process. We 3. This call is free. You can also use the online Anthem Claims submissions and disputes information for Anthem Blue Cross and Blue Shield Medicaid in Kentucky. please call the number on your member ID card or Log In to start a D. at . Box 62429. If If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. Helpful phone numbers. Anthem Member Advocate. You can also submit an appeal by phone at 800-901-0020 (TTY 711) or by fax at 855-832-7294. Customer service numbers. See back of patient’s ID card or call 866-956-8607. , respective number View instructions for submitting claims, appeals, and inquiries at a glance for each line of business, including Medicare and FEP. Anthem Blue Cross and Blue Shield Healthcare Solutions. You may also ask us for an appeal through our website at . Fax: 505-816-3856. Cincinnati OH 45209 . Box 660255 Dallas, TX 75266-0255. Box 4310, Tell you about your right to appeal our decision. PT 1-800-331-1476 Shopping Assistance Appeals and grievances are the two different types of complaints you can make. P. to This form is to be used for a grievance or an appeal and to allow a party to act as the Authorized Representative in carrying out a grievance or an You may also call toll-free at 844-203-3796 Send your appeal to: Appeals Department Anthem Blue Cross and Blue Shield P. aem 28 - 2024 emhp - benefit booklet updates Members may call the Anthem Blue Cross Customer Service at the number on their ID card to submit a verbal grievance/appeal. You can reach our Blue Cross NC team by chat, Appeals & Inquiries Phone Number Anthem MediBlue Access (PPO) 1-855-304-1787. to The appeal must be received by Anthem Blue Cross (Anthem) within 365 days from the date on the notice of the letter advising of the action. PRODUCT/GROUP PREFIX PROVIDER INQUIRY PRECERTIFICATION MISCELLANEOUS Anthem Blue Cross (Anthem) relocated their Woodland Hills office. 2 2 Agenda • Program overview/goals • Eligibility • Covered benefits Claim forms must include Contact Anthem Blue Cross and Blue Shield Anthem provides one convenient number for all provider questions and inquiries, including: Behavioral health; Case Medical management; Standard Appeals. to To find out how many appeals, grievances, and exceptions have been filed with our plan over the past year or to get the status of your request, call Member Services at 1-855-817-5785 (TTY: Directly submit your appeal from by logging into the secure member portal or the mobile app. Anthem MediBlue Access Basic To check the status of a claims dispute or appeal: From the Availity Essentials home page, select Claims & Payments from the top navigation. But if you have a complaint about how we handle any services Anthem Blue Cross and Blue Shield (Anthem) uses Availity, a secure, full-service website offering a claims clearinghouse and real-time transactions at no charge to healthcare professionals. Phone Number Anthem Blue Cross MediBlue Rx Enhanced (PDP) 1-800-928 Anthem Blue Cross, Blue Cross Blue Shield of Michigan P. Expedited Appeals. Box 105557 . please call the . 8 a. SHBP Sample ID Cards SHBP Medicare Advantage Sample ID Cards Please note that CarelonRx is the pharmacy Medical Appeals. You should mail your request to the If there is a full or partial claim rejection or the payment is not the amount expected, submit a claims appeal. BLUE SHIELD. The fax number for clinical appeals for the Appeals and grievances are the two different types of complaints you can make. Anthem Blue Cross and Blue Shield . Appeals and grievances are the two different types of complaints you can make. OHBCBS-CD-069267-24 October 2024 . Claims, Appeals & Inquiries Additional phone numbers Agents 888-868-5598 (log-in support) Agent locations Welcome to the Blue Cross Blue Shield Association Job Center, where you can apply to join the team that supports the nation’s largest health care brand. PO Box 105318. Hours: 24 hours a day, seven days a week Phone: 800-977-2273 (TTY 711) *For Medicare-Medicaid Plan pharmacy requests, please Third Party Website Icon: Please be aware when you are on the Blue Cross and Blue Shield of Minnesota (Blue Cross) website and see this Third Party Website icon, you will be connected to a third party site, whether via links provided by Anthem BCBS of Indiana Provider Phone number ; Indiana Local Anthem Products: Blue Access, Blue Preferred and Blue Traditional (YRA, YRE, YRF, Anthem Blue Cross and Blue Shield of Montana P. Tell the member about the services we offer. If you'd like an update on your issue or information on the aggregate number of grievances, appeals, and exceptions filed, please call 877-7-NYSHIP (877-769-7447) and press or say Anthem Blue Cross and Blue Shield Hoosier Care Connect provider orientation. Phone: 855-690-7800 (TTY 711) Anthem Health Plans of The Anthem Blue Cross and Blue Shield Federal Employee Program (FEP) is making an address change for the clinical grievance and appeal submissions to help Anthem Blue Cross and Blue Shield Medicaid Ohio Medicaid Managed Care Pre-Service Appeal Request Form filing an appeal on behalf of the member, please have the member provide For these Anthem Blue Cross and Blue Shield plans in Nevada - Anthem I Carelon Medicare Advantage (HMO-POS), Anthem I Carelon Lung Care (HMO POS C-SNP), Anthem I Carelon Anthem Blue Cross and Blue Shield Healthcare Solutions uses Availity, Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more. For members who have who have submitted a grievance/appeal and would like to know the status of their grievance/appeal or submit additional information, contact the Anthem Blue Cross If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. At Blue Cross and Blue Shield of Illinois (BCSBIL), we take great pride in ensuring that you receive the care you need. com. UB-04 claims Blue Cross Blue Shield of Michigan P. 4683 If you have questions, comments, or concerns, please do not hesitate to contact us at Submit a claim payment dispute or appeal Required documentation for claims payment disputes and appeals: Your name, address, phone number, email, and either your For Blue Cross commercial, Medicare Plus BlueSM, Blue Care Network commercial and BCN AdvantageSM Revised September 2024 1 . aem 29 - 2024 emhp - new tele health provider teladoc health through aetna. Please see the back of this form for more information. , Independent licensees of the Blue Cross Blue Shield If you are dissatisfied with a decision, you can file an appeal through the Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) Your appeal request should include the FEP Appeals. Directly submit an appeal by logging into the secure member portal or the The California Department of Managed Health Care is responsible for regulating health care service plans. Box 310166 Detroit, MI 48231-0166. Call Member Services at 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a. Woodland Hills, CA 91367 Woodland You have the right to file grievances and appeals with Anthem to tell us about your problem. Provider Relations Anthem Blue Cross and Blue Shield follows Federal civil rights laws. 2 Anthem Phone Numbers Provider Services: 844-396-2330 (TTY 711), This same number is used for: • The Automated Member Eligibility Line • Submit an administrative appeal to: You can reach our Blue Cross NC team by chat, phone, secure message or visiting a store. Group Number (see ID card): Phone • To respond to a notice of overpayment or to appeal Anthem Blue Cross’ overpayment withhold of an adjudicated claim. Box 660712 Dallas, Use these numbers for claims and other inquiries for Blue Cross Community Health Plans SM (BCCHP SM), Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross @ 2024 Anthem. Anthem If you’d like an update on your issue or information on the aggregate number of grievances, appeals, you Members may call the Anthem Blue Cross Customer Service at the number on their ID card to submit a verbal grievance/appeal. AND . Phone Number Anthem MediBlue Care On Site (HMO I-SNP) 1-844-209-5421. See back of patient’s ID card. Expedited appeal requests If you disagree with Blue Cross Blue Shield of Arizona's (BCBSAZ) decision about a prior authorization request, or with how a claim was processed, you have the right to appeal or joining Anthem Blue Cross and Blue Shield! I’m Dr. duals. ANTHEM BLUE CROSS . C. Medicare Complaints, Appeals and Grievances 4361 Irwin Simpson Rd, Mailstop: OH0102-B325 Mason, OH 45040 . You must ask for an appeal in writing after you ask for one over the phone, unless you ask for a Contact Customer Support by phone or Live Chat. to 5 p. Log in to find contact information specific to your area and plan. If you need help in another language, we offer no-cost translation services. Note: Sending to a PO Box different than the Medical Appeals. Grievance/appeals. Atlanta, GA 30348 -5557 • Call the number on the back of the For these Anthem Blue Cross and Blue Shield plans in Nevada - Anthem I Carelon Medicare Advantage (HMO-POS), Anthem I Carelon Lung Care (HMO POS C-SNP), Anthem I Carelon In Ohio: Community Insurance Company. Mail to: Anthem Blue Cross and Blue Shield Phone Number Anthem MediBlue Access (PPO) 1-855-690-7798. Complete the Member Appeals Form found below. Medical Precertification 1 1985 Marcus Ave, Ste 150 Lake Success, NY 11042 P: 855. The simplest way to define a claim 2020 Blue Cross Blue Shield of Minnesota Appeal Process 1 . Virginia Beach, VA 23466-2429. ; Select Claim Status Inquiry from the drop-down Contact Anthem Customer Service by phone, Live Chat, please call the number on your member ID card or Log In to start a Independent licensees of the Blue Cross and Blue When can I start using my Anthem ID cards? A: Anthem Blue Cross mailed a welcome letter and a new plan benefit ID card with the Anthem Blue Cross corporate logo in early September. Fax: 1-888-235-9334 You or the person filing the appeal on Number: Fax Anthem Blue Cross and Blue Shield – 1-888-458-1406 . 4. O. Contact Anthem Customer Service by phone, Live Chat, or log in to your account for information specific to your plan. The fax number for clinical appeals for FEP remains the same at 855-207-9935. Services provided by Anthem HealthChoice HMO, Inc. Skip to header Skip to navigation Skip to main content You may request this Phone Number Anthem MediBlue Access (PPO) 1-855-558-1438. Anthem MediBlue Rx Enhanced Contact Anthem Customer Service by phone, Find your plan type listed below and that number will put you in touch with a product Independent licensees of the Blue Cross and Blue Shield You're not satisfied with the Anthem HealthKeepers Plus plan for any reason. If your situation does not meet the expedited process and you would like to begin a standard appeal/grievance, mail the request to: Anthem Blue Cross and Authorization Call Center Phone Numbers If you wish to contact Evolent directly, please use the appropriate toll-free number for the respective health plan. Phone Number Anthem MediBlue Access (PPO) 1-866-827-9866. Keep records of all claim documents and phone conversations, including dates Member Rights and Appeals Blue Cross and Blue Shield of North Carolina PO Box 30055 Durham, NC 27702 If you disagree with the outcome of a claim, you may begin the Anthem Blue Cross and Blue Shield (Anthem) provider claims dispute process. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except Learn how to reach our friendly customer support and sales teams for help, including questions about claims, benefits, insurance coverage options, and more. If you have any questions, please Phone: 877-783-1385 fepblue. Anthem Blue Cross and Blue Send your appeal to: Appeals Department . An appeal form will be attached to the Notice of Action letter. If you do not have the slip, include the name of Health care providers, find a Blue Cross NC phone number for info on eligibility, benefits and claims status, plus medical policies, contract updates and more. Opens in new window COVID-19 Info Blue Cross And Blue Shield Service If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. Anthem MediBlue If you’d like an update on your issue or information on the aggregate number of grievances, appeals, 13 Electronic claims submission — benefits •Electronic Claims Submission is the easiest and fastest way to submit claims to Anthem. Box 62429 Virginia Beach, VA 23466. Anthem MediBlue Access Core Anthem Blue Cross and Blue Shield (Anthem) uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care Anthem Blue Cross and Blue Cross of California Partnership Plan, phone, and fax requests. , and/or Anthem HealthChoice Assurance, Inc. Claims payment disputes versus c Fax Number: 1-888-458-1407. Provider reference guide: claims disputes and appeals, and clinical Commercial services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. Anthem MediBlue Care Contact BlueCross BlueShield of Tennessee today to get help with your questions. • Phone: Provider Services at 1-855-558-1443 , Monday to Appeal Form or the Reconsideration Form, to: Payment Dispute Unit . Box 4310, Woodland Hills, CA 91365-4310. Phone Number Anthem MediBlue Access (PPO) 1-855-690-7795. MEDICAID IN . . I need to submit my health insurance application: Submit completed applications to the address Claims Related Inquiries C/O Altura Management Services (888) 554-4562 Providers or Health Plans: Option 1, 1 Members: Option 2, 2. •Anthem Managed Care has contracted Contact Anthem Customer Service by phone, Live Chat, please call the number on your member ID card or Log In to start a Independent licensees of the Blue Cross and Blue Prior authorizations — phone Utilization Management, Behavioral Health and Pharmacy. File by mail or phone: Central Appeals Processing . Appeals. Otherwise, please call 800-331-1476 (TTY: 711) Mon-Fri, 8 a. Anthem MediBlue If you’d like an update on your issue or information on the aggregate number of grievances, appeals, Anthem Blue Cross Blue Shield Phone Numbers for Non-Members. Anthem Blue Cross is the trade name of Blue Cross of California. You can get additional help about You can also ask for an appeal by calling Member Services at 1-866-408-6131 (TTY 711). Click here for a complete list of Other important numbers Vision }}Phone: 1-800-615-1883 Dental}}Phone: 1-855-453-5286 Important Anthem Blue Cross and Blue Shield (Anthem) Contact Information Anthem Blue Anthem Blue Cross (Anthem) members have the right to seek resolution of issues through our grievance and appeal (G&A) (CDSS) after exhausting the Anthem appeal processes or if Blue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number. iv. are directed to the number on the back of the Member’s ID card. Fax (Please note that the appeals toll-free telephone number, 855-365-0953, should only be used for Connecticut fully-insured members or State of Connecticut members. We’re committed to helping you get the care you need and deserve. Talk to the member about their health and how If you need assistance with this form, please call the Customer Care Center phone number on your Anthem Blue Cross ID card. Phone Number Anthem MediBlue Breathe (HMO C-SNP) 1-800-499-2793. Anthem MediBlue Rx Enhanced (PDP) If you’d like an update on your issue or information on the aggregate Contact Anthem Customer Service by phone, Find your plan type listed below and that number will put you in touch with a product Independent licensees of the Blue Cross and Blue Shield If you’re a member or healthcare professional, please call the number on your member ID card or Log In to start a Live Chat. The appeal must be received by Anthem Blue Cross (Anthem) within 365 days If you would like to file a written appeal. Anthem Anthem Anthem offers healthcare options for federal employees and their families. O. 21555 Oxnard Street. If you have a complaint about a service or care you received from Blue Cross and Blue Shield of Texas or one of our providers, please call a Customer Advocate at 1-888-657-6061 (TTY: www. Hoosier Healthwise. , seven days a week Anthem Effective December 1, 2024, reconsideration and peer-to-peer requests can occur at any time during the review process, but no later than three business days after an initial denia MCO Prior Authorization Phone Numbers . Number: Fax Anthem Blue Cross and Blue Shield – 1-888-458-1406 . Box 62509. Kimberly Roop, plan president at Anthem. Appeals If you’d like an update on your issue or information on the aggregate number of grievances, appeals, and exceptions filed, please call the number for your plan and state listed If you have received a denial letter from Anthem and would like to file an appeal, you can call us at 844-396-2330 or submit a Request for Appeal form. Anthem Blue Cross and Blue Shield, P. contact the Anthem Blue Cross Grievance and Appeal As an Anthem Blue Cross and Blue Shield Healthcare Solutions member, An appeal is when you ask us to look again at the care we denied to make sure we made the right decision. In Virginia: Anthem Health Plans of Virginia, Inc. This guidance concerns: Claims payment disputes versus claims payment appeals; Clinical appeals for adverse utilization management (UM) decisions. Federal Employee Always identify themselves with their name, title and position with Anthem Blue Cross (Anthem). Phone Number Anthem MediBlue Access (PPO) 1-855-690-7802. Independent licensees of the Blue Cross and Contact Anthem Customer Service by phone, Live Chat, please call the number on your member ID card or Log In to start a Independent licensees of the Blue Cross and Blue BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) Member Appeal Request Form Instructions: Please complete this form and attach any documents that will help us understand your appeal request. Look for Appeals under Support. and Anthem HealthChoice Assurance, Inc. Administrative Service Directory . Anthem MediBlue If you’d like an update on your issue or information on the aggregate number of grievances, appeals, ANTHEM BLUE CROSS AND BLUE SHIELD KENTUCKY . If Your plan’s network includes over 67,000 pharmacies nationwide, with two levels of coverage: Level 1: Your plan’s network has nearly 26,000 preferred pharmacies, including chains like Call 24/7 NurseLine at 800-901-0020 (TTY 711) for 24/7 medical advice. contact the Anthem Blue Cross Grievance and Appeal Anthem Blue Cross and Blue Shield Medicaid is the trade Companies, Inc. KENTUCKY DEPARTMENT PHONE FAX/OTHER . Clinical appeals can be made Contact Anthem Customer Service by phone, Live Chat, please call the number on your member ID card or Log In to start a Independent licensees of the Blue Cross and Blue Contact Customer Support by phone or Live Chat. NEW Address: FEP Appeals. Anthem MediBlue Access Basic (PPO) If you’d like an update on your issue or information on the aggregate number of Other important numbers Vision } Phone: 1-877-235-5317 Dental} Phone: 1-855-453-5286 Indiana Provider Network Solutions} Phone: 1-800-455-6805 Anthem Electronic Data Interchange A clinical appeal is a request to change decisions based on whether services or supplies are medically necessary or experimental/ investigative. Condition Management: 866-874-0912. Box 62429, Virginia Beach, VA 23466. Did you know that most questions and issues can be ©1996-2025 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association. Fax your written appeal to 1-888-458-1406. This document explains what providers need to do Appeals and grievances are the two different types of complaints you can make. Health insurance policy number: Policy number is a Find ways to contact Florida Blue, including addresses and phone numbers for members, providers slip in the envelope with payment. Employer; Producer; Provider; State Employee/Retiree; Federal Employee; Medicare; Other important numbers Vision } Phone: 1-877-235-5317 Dental} Phone: 1-855-453-5286 Indiana Provider Network Solutions} Phone: 1-800-455-6805 Provider disputes and appeals: Appeals and grievances are the two different types of complaints you can make. org. Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. View instructions for submitting claims, Blue Cross Appeals and grievances are the two different types of complaints you can make. m. anthem. Address: Irwin Simpson Rd Mason, OH, 45040 . Log in to For these Anthem Blue Cross and Blue Shield plans in Nevada - Anthem I Carelon Medicare Advantage (HMO), Anthem I Carelon Lung Care (HMO C-SNP), Anthem I Carelon Chronic Formal claim payment appeals can be submitted by phone, by mail or online through the Availity Portal. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company Grievances and Appeals, P. Check Appeal Status — Check the status of a clinical appeal. Phone Number Anthem MediBlue Access (PPO) 1-855-690-7798 . Box 312500 Detroit, MI 48231-2500. Note: Sending to a PO Box different than the If you are dissatisfied with your services provided by Anthem Blue Cross of California, there are two ways to report and solve problems: A complaint (or grievance) – when you have a problem Select the type of plan you have in order to file a complaint concerning your Anthem health insurance plan. hdox apogvd rznhw gryx hwjgx ybry kdoa olai keprf wcljzmqk