Get Anthem Claim Action Request Form 2011-2024

How To Submit An Anthem Claim Yourself Make sure the claim form from your benefits plan includes all required information, especially procedure codes (you can receive these from your doctor's office). If you're filling the form out by hand, write legibly. File your paperwork promptly and within the time limit.

Call Member Services at 1-855-817-5785 (TTY: 711) Monday through Friday from 8 a.m. to 8 p.m. This call is free. Fax your written appeal to 1-888-458-1406.

Whether you are viewing a claim for yourself or a family member, you can review all claims at your Anthem member account. Log in to your member account to access your claims information.

We'll send you an acknowledgement letter within three business days after we get your appeal. The letter will tell you we got your appeal request. You can also ask for an appeal by calling Member Services at 1-866-408-6131 (TTY 711).

You can also file a grievance by: Calling Member Services at 844-912-0938 (TTY 711). Logging into the secure member portal or the mobile app and finding Grievances under Support. Printing the form and emailing it to ohioga@anthem.com or faxing it to us at 866-587-3316.

Claims dispute From the Availity home page, select Claims & Payments from the top navigation. Select Claim Status Inquiry from the drop-down menu. Submit an inquiry and review the Claims Status Detail page. If the claim is denied or final, there will be an option to dispute the claim.

Reasons for Anthem insurance claims denials include: The filing deadline has expired. The insured mad a late payment to COBRA. The medical device or treatment sought is not medically necessary.

5 Easy Steps To Achieve Clean Claim Submission Rate Ensure patient information is correct. ... Follow a stringent prior authorization process. ... Follow the latest medical coding guidelines. ... Make sure the right modifiers are used. ... Perform quality checks prior to claims submissions.