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California Forms Library | Anthem.com

    https://www.anthem.com/ca/forms/
    Dental Claim Form (902 KB) International Claim Form (BlueCross BlueShield Global Core) (221 KB) Use this form to submit institutional and professional claims for …

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, …

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: 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 overview - Anthem

    https://providers.anthem.com/california-provider/claims
    Filing your claims should be simple. That’s why Anthem Blue Cross uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions …

Forms | Anthem Blue Cross

    https://abc.anthem.com/Page/Forms
    Forms | Anthem Blue Cross Forms Claim Forms Claim Form Dependent Care Claim Form Debit Cardholder Agreement & Dispute Form Debit Cardholder Agreement Card …

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 …



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