![]() ![]() She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.įor more information about how we use your data, please review our privacy policy. How do I make contributions to my PoweR Account A. Charity Singleton CraigĬharity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. The correct amount will automatically be deducted from your POWER Account when the claim is adjudicated. For use or reprint in your blog, website, or publication, please contact us at. Anthem is changing their timely filing limit for professional claims. Meanwhile Medicare’s filing limit remains 12 months from the date of service, and traditional Indiana Medicaid has a 180-day filing limit.įor more information about the change, review Anthem’s Provider Communications article “ Reminder: Changes to timely filing requirements coming in October.” Corrected claims filed beyond federal, state-mandated. Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. Anthem Blue Cross timely filing limit (Commercial and Medicare Advantage plan) Eff: October 1. ![]() The new 90-day requirement reflects Anthem’s commitment to “simplify processes, improve efficiencies, and better support coordination of care.” The change also aligns Anthem with other commercial payers, including Aetna, Cigna, and United Healthcare, all of whom have 90-day timely filing limits for claims. “One hundred eighty days has been the Anthem Blue Cross and Blue Shield (Anthem) standard since 2007,” the payer explained. ![]() In 2016, when some professional and ancillary provider contracts inadvertently included a 90-day filing limit, Anthem issued a blanket correction, confirming their 180-day filing limit at that time. Corrected claims filed beyond federal, state-mandated, or company standard timely filing limits will be denied as outside the timely filing limit. Failure to mark the claim appropriately may result in denial of the claim as a duplicate. Beginning October 1, 2019, all claims will be subject to a 90-day filing requirement, and according to the payer, “Anthem will refuse payment if submitted more than 90 days after the date of service.”įor years, Anthem’s timely filing limit has been 180 days. If the provider does not submit the claims to the insurance company within timely filing limits the insurance company will deny the claim and the provider. Corrected claims submitted electronically must have the applicable frequency code. Anthem is changing their timely filing limit for professional claims. ![]()
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