If you have any questions, email our Network Relations staff at Plan is the secondary payor, the ninety (90) day period will not begin until Provider receives notification of primary payor’s responsibility. This means claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement, and Blue Cross will refuse payment if submitted more than ninety (90) days after the date of service1. You have 180 days from the date of discovery of. Notification was sent June 21, 2019, to providers of applicable networks and contracts.Įffective for all claims received by Anthem on or after October 1, 2019, all impacted contracts will require the submission of all professional claims within ninety (90) days of the date of service. If you have individual, group or self-funded non-ERISA group coverage, youre eligible under the state process. Here are some guides we created to help you with claims filing. Thats why we provide tools and resources to help. In the effort to simplify our processes, align with industry standards, and better support coordination of care, Anthem Blue Cross (Anthem) is changing professional agreements to adopt a common time frame for the submission of claims. We try to make filing claims with us as easy as possible. If the member has other health insurance that is primary, then timely filing is counted from the. After a claim file has been submitted to ASK, a Claims Acknowledgement (277CA) is. Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits. Limits are based on calendar days unless otherwise specified. Guideline Updates / Reimbursement Policies well as for members who have BCBS coverage through other plans.
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