The parties may agree to a different performance. This is called an accord. When the accord is performed, this is called an accord and satisfaction. The original obligation is discharged. In order for there to be an accord and satisfaction, there must be a bona fide dispute; an agreement to settle the dispute; and the performance of the agreement. An example would be settlement of a lawsuit for breach of contract. The parties might settle for less than the amount called for under the contract.
Anthem Claim Dispute Form With Email In Dallas
State:
Multi-State
County:
Dallas
Control #:
US-00435BG
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Anthem and Blue Cross Blue Shield are related, but they are not the same company. While they are both top health insurance providers in the USA, the big difference is that Blue Cross Blue Shield is the umbrella that is made up of several independent companies, and one of these smaller companies is Anthem.
BCBSTX requires all health care providers to file electronic claims using National Standard Format (NSF), American National Standards Institute (ANSI 837) or UB-04 format or paper claims utilizing the CMS-1500 or UB-04 forms. ALL paper claims for health care services MUST be submitted on one of these forms/formats.
Services billed beyond 95 days from the date of service are not eligible for reimbursement. Participating physicians, professional providers, ancillary and facility providers may not seek payment from the member for claims submitted after the 95-day filing deadline.
Blue Cross and Blue Shield of Texas is the largest and most experienced health care insurance company in the state. We provide coverage to more than 5.1 million members. Why do so many Texans choose us? Largest Network — We have the largest PPO network in the state.
Complaints and Appeals If you have a complaint about a service or care you received from Blue Cross and Blue Shield of Texas (BCBSTX) or one of our providers, please call a Customer Advocate at 1-877-688-1811 (TTY: 711). BCBSTX Customer Advocate Department: 1-877-688-1811 (TTY: 711)
If you are traveling outside of Texas, there are even more BCBS Network providers from which to choose. In fact, more than 85 percent of all doctors and hospitals throughout the United States contract with BCBS.
More info
To request a health plan appeal you can: Fill out a Health Plan Appeal Request Form. If the claim is denied or final, there will be an option to dispute the claim.Select Dispute the Claim to begin the process. To request a health plan appeal you can: File a written appeal using the Health Plan Appeal Request Form. Wondering how you can submit a claim? Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more. Please complete the form below. For coverage approval status, copies of forms and more, sign in to your account or call our Automated Assistant at 1- anytime, day or night. Contact Us ; BlueCard® Hotline. For out-of-state member benefits and eligibility, 800-676-BLUE (2583) ; Behavioral Health Unit.
