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Summary of Benefits

for Anthem Senior Advantage Basic (HMO) and Anthem Senior Advantage Plus (HMO)

Claim Form - 1 of 2 Section 1: MeMber inforMation

INSTRUCTIONS: Please complete the entire form and return it to Anthem Blue Cross and Blue Shield at the address provided. See page 2 for complete instructions

By DR. MICHAEL S. BERLINER, Executive Director of the Ayn ...

THE VALUE OF ANTHEM FOR YOUNG STUDENTS Anthem contains many elements that appeal strongly to young readers. It is an exciting and inspiring story, ...

California Agent Guide

1 Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

Policy and usage agreement form

EXTERNAL USER LOGON POLICY AND USAGE AGREEMENT Policy In order to ensure data security, those individuals receiving Logon IDs and using the computer resources of Wellpoint Inc. (including those of its various

How to Read Your Explanation of Benefits

EXPLANATION OF BENEFITS ISSUE DATE PAGE Sequence Number: Subscriber's Name: Identification Number: Group Number: Group Name: Product: Claim Number: Claim Received Date: Claim Processed Date: THIS CLAIM WAS PROCESSED IN Days.

2138 Indv Enr App 9_03

IU2138 1/04 01 Individual Enrollment Application The following plans are offered by Blue Cross of California: PPO Share 2500/1500/1000/500, Select HMO, HMO Saver, Individual HMO, EPO and DentalSelect HMO plans.


Anthem ® Room Correction, three years in development, is the first real implementation of research conducted over 20 years ago by the National Research Council (NRC).

Introducing Electronic Funds Transfer Your opportunity to ...

Anthem Electronic Funds Transfer (EFT) Customer Authorization Form (fully insured) EANFR 18518CEEENABS Rev. 8/11 Small Group Only We hereby authorize Anthem Blue Cross and Blue Shield to initiate debit entries of premiums or any other related payments on our behalf and credit entries as required to ...