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Web claim adjustment request 151 form please mail form to: Box 27401 richmond, va 23279 submitting claim payment disputes via availity This blog post will examine what an anthem form 151 is and how to fill out one. Web claim information/adjustment request 151 form please mail form to: Web when submitting a claim payment dispute in writing, providers must include the claim information/ adjustment request 151 form and submit to: It's used for billing, insurance verifications, and health care claim submissions. Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more. Anthem form 151 is a document provided by anthem blue cross of california and its affiliates to individuals seeking medical coverage under the individual or group policy. The advanced tools of the editor will direct you through the editable pdf template. Enter your official contact and identification details. Sign online button or tick the preview image of the form.
