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  • Provider Claim Inquiry Form

Get Provider Claim Inquiry Form

Access your plan providers and patientreviews with accurate results by logginginto your ... Simply click here to getstarted searching for doctors withinFlorida.

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Billed Questions & Answers

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WHAT IS A CORRECTED CLAIM? A corrected claim is a replacement of a previously billed claim that requires a revision to coding, service dates, billed amounts or member information. CORRECTED CLAIM BILLING REQUIREMENTS.

You must file your claim within one year from the date of service. You can submit your claim any time during the year. Use a separate claim form for each family member and each physician or supplier. All sections of the form must be filled out completely or your claim may be returned to you.

Filing limitations for appealing a claim is one year (365 days) from the final processing date or the date the claim denied. Appeals must be submitted within one year (365 days) from the date on the remittance advice, or the message below will display.

The Claims Inquiry Form (CIF) is used to request an adjustment for either an underpaid or overpaid claim, request a Share of Cost (SOC) reimbursement or request reconsideration of a denied claim. The CIF can also be used as a tracer.

For coverage approval status, copies of forms and more, sign in to your account or call our Automated Assistant at 1-800-352-2583 anytime, day or night.

FAX: 1-866-990-1385 PLEASE NOTE: If your other insurance or Medicare policy is primary, you must attach a copy of the Explanation of Benefits from that insurer. Your claim cannot be processed without this information.

at .availity.com. All providers (in-network and out-of-network) should send corrected claims to Florida Blue electronically through Availity®1 at .availity.com. Sending corrected claims electronically means less paper, faster processing and allows you to submit and track your claims without manual intervention.

In this case, you will need to perform the following steps. Post a partial payment. Place the claim into refile status. Make any necessary edits to the claim file. Refile the claim to only include the charges that have not been paid.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232