![]() Second, you have to accurately verify a patient’s insurance before or at the time of appointment because if you send an Anthem claim to the wrong insurer, you may not have time to send it again. ![]() First, you and your staff obviously have to be efficient about filing claims. Additional information on timely filing is also available in the General Provider Information manual, available on the Billing Manual web page. Anthem Blue Cross Blue Shield Timely filing limit - BCBS TFL List Ambetter Timely Filing Limit. A copy of the Remittance Advice indicating the recoupment must be attached to the new claim. ![]() 1.Ī shorter time limit for filing claims increases the importance of two office functions. The following frequently asked questions focus on common issues providers ask when trying to better understand the rules and exemptions for timely filing. The timely filing limit for resubmitting the new, corrected claim is no more than 90 days from the date of the Remittance Advice indicating the recoupment or 12 months from the date of service, whichever is longer. Claims that are not submitted within the 90-day timeframe will not be considered for reimbursement. However, we encourage providers to submit claims on a monthly basis. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. The corrected claim must be received within the timely filing limit due to the initial claim not being considered a clean claim. CLAIM FILING REQUIREMENTS Timeliness All claims must be submitted within ninety (90) days of the discharge date or date of service. A claim submitted after this time frame may be denied. Submitter: Timely filing limit is 90 days or per the provider contract. The notice goes on to say that practices that object to this change can file a written appeal with the company within 30 days of receiving the notice and attempt to negotiate the timely filing limit. Timely filing guidelines When submitting claims, whether it is electronic or paper, there are required time frames that must be kept by all parties involved. This means all claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement. 1, 2019, your Anthem Blue Cross and Blue Shield (Anthem) Provider Agreement(s) will be amended to require the submission of all commercial and Medicare Advantage professional claims within ninety (90) days of the date of service. The company has reportedly notified all practices that have non-Medicare or Medicare Advantage contracts with them that:Įffective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct. If you have a contract with one of Anthem’s commercial or Medicare Advantage plans, your window to timely file a claim may be shrinking.
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