Cancel Anthem Blue Cross Ohio Insurance Form

Use this form to request a recoupment from a future remittance or to send us a voluntary refund check for an overpayment we ve made to you.

Cancel anthem blue cross ohio insurance form. Get answers to frequently asked questions regarding benefits claims doctors emergency care and more. If you are cancelling coverage for a dependent or changing a name please provide a reason in the designated sections. Anthem blue cross and blue shield local plans including plans sold on or off the health insurance exchange federal employee program. Complete the anthem enrollment application instead of this form.

Browse commonly requested forms to find and download the one you need for various topics. During this time you can still find all forms and guides on our legacy site. Anthem health plans of virginia inc. 2020 copyright of anthem insurance companies inc.

Anthem blue cross is the trade name for blue cross of california. Find the information you need around your health insurance in ohio at anthem blue cross blue shield. This form can be used for any of the following plans or programs. Anthem blue cross cal mediconnect plan medicare medicaid plan is a health plan that contracts with both medicare and medi cal to provide benefits of both programs to enrollees.

Trades as anthem blue cross and blue shield in virginia and its service area is all of virginia except for the city of fairfax the town of vienna and the area east of state route 123. Easily find and download forms guides and other related documentation that you need to do business with anthem all in one convenient location. Log in to find contact information specific to your area and plan. Contact anthem blue cross and blue shield customer support in ohio by phone or live chat.

Complete electronically or in blue or black.