151 Form Anthem - We will consider the second claim an attachment. Web to submit a written reconsideration, use a blank claim information/adjustment request 151. Web find and download forms, guides, and other related documentation for doing business with anthem in your state. Web don’t stamp or write over boxes on the claim form. Web learn how to submit a claim payment dispute with anthem using the claim information/adjustment request.
Web don’t stamp or write over boxes on the claim form. We will consider the second claim an attachment. Web learn how to submit a claim payment dispute with anthem using the claim information/adjustment request. Web find and download forms, guides, and other related documentation for doing business with anthem in your state. Web to submit a written reconsideration, use a blank claim information/adjustment request 151.