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Looking for a form, but don’t see it here? Web mail the completed form to: See your handbook for information about anthem. Web a library of the forms most frequently used by health care professionals. You may also authorize someone to represent you. 2023 legacy application change form for. Web 2023 individual enrollment application for california. Web file your grievance or appeal with anthem blue cross. Web anthem blue cross (anthem) members have the right to seek resolution of issues through our grievance and appeal (g&a) process. Web in most cases, you must file an appeal with us before requesting an imr.