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California Forms Library | Anthem.com

    https://www.anthem.com/ca/forms/
    International Claim Form (BlueCross BlueShield Global Core) (221 KB) Use this form to submit institutional and professional claims for benefits for covered services …

Anthem Blue Cross : Forms

    https://www.anthem.com/ca/ms/prism/pages/forms.html
    Pharmacy Claim Form – Note: this form is only to be used if you are on the Anthem HMO or HSA plans. For a full list of forms, visit Anthem's website: anthem.com/ca/forms ® …

How to Submit, Track and Access Anthem Claims | Anthem

    https://www.anthem.com/member-resources/claims
    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 …

Provider Forms - Anthem

    https://providers.anthem.com/california-provider/resources/forms
    Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, …

Anthem Blue Cross: California Health Insurance, …

    https://www.anthem.com/ca
    ® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2022 Anthem Blue Cross. Serving California. …

Claims Submissions and Disputes | California Provider

    https://providers.anthem.com/california-provider/claims/claims-submissions-and-disputes
    Claims Submissions and Disputes. If a provider does not agree with the outcome of a claim determination, the provider may appeal the decision by using the claim payment appeals …

Anthem Blue Cross Medical Claim Form

    https://www.rsccd.edu/Departments/Risk-Management/Benefits/Documents/Anthem%20Blue%20Cross%20Medical%20Claim%20Form.pdf
    Name and address of provider (doctor, hospital, laboratory, ambulance service, etc.) Nameofpatient Service provided Date of service Amount charged for each service …

Contact Us | California Provider - Anthem Blue Cross

    https://providers.anthem.com/california-provider/contact-us
    Customer Care Center for Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) Phone: 1-855-817-5786 Fax: 1-888-235-8468 Fresno/Madera: 1-559-353-3500 Los …

Forms Library - Anthem

    https://www.anthem.com/employer/forms/
    Find a Form; Dental Prime and Complete Login; EasyPay; Anthem Life Resources Anthem Life Resources. Welcome to Anthem Life; Anthem Life - Compassi; Secure …



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