Administrative Digital SolutionsCommercialJune 30, 2023

Digitally file claim payment disputes for Anthem Commercial member claims beginning in July

When you have more information to share about a claim that has been denied, filing the dispute digitally is a cost-effective and time-saving alternative to paper and fax. This claims status application enhancement, available on Availity.com,* enables a fast, efficient, and streamlined process for filing claim disputes:

  • Upload supporting documentation and attach it directly to the claim.
  • Use the Appeals Dashboard:
    • To review digitally filed disputes. 
    • To retrieve correspondence related to your disputes. 
    • For a history of digitally filed disputes.

How to file a digital claim payment dispute:

  1. Log onto Availity.com.
  2. Select the Claims & Payments tab.
  3. Select Claims Status and enter the information needed to retrieve your claim.
  4. When you have found your claim, select the Dispute button (it will be visible when your claim is eligible for a dispute)
  5. Access your Appeals Dashboard to upload the supporting documents and complete the dispute request.

Receive dispute determinations digitally from your Appeals Dashboard

Anthem Blue Cross and Blue Shield (Anthem) will review the dispute and communicate an outcome on Availity.com and through the mail. Check the status of a digitally-submitted dispute at any time from your Appeals Dashboard

Attend a learning event 

Submitting a digital claim payment dispute is easy, but attending one of these informative learning sessions provides a deep dive into the application and its search and filter functions. These tips are sure to make the submission process even easier!

Register for a live training session or for an on-demand recording.

For more information about the claim payment dispute process, consult your provider manual or reach out to your Provider Relationship Account representative.

*Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

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PUBLICATIONS: July 2023 Provider Newsletter