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. Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more. If you find that we are the primary payer, confirm that when the member arrives for their appointment. 1.Ī shorter time limit for filing claims increases the importance of two office functions. Anthem Blue Cross and Blue Shield (Anthem) uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Log onto, go to payer spaces, select us as the payer and use the Patient Registration tab to run an Eligibility and Benefits Inquiry. For additional information, including Timely Filing Requirements, Coordination of. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. This section provides a quick introduction to filing claims with BCBSIL. 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. This means all claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement. The Medicare supplement insurance rate filing submitted by Anthem Blue Cross and Blue Shield of Connecticut, for its Standardized products, is approved as. 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. Under the new requirement, all claims submitted on or after October 1, 2019, will be subject to the new 90 day filing requirement. 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.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. Currently, Anthem requires physicians to submit all professional claims for commercial and Medicare Advantage plans within 365 days of the date of service. 1.Ī shorter time limit for filing claims increases the importance of two office functions. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. This means all claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement. Waiver of the timely filing requirement is only permitted when Anthem has. 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. Anthem will reconsider reimbursement of a claim that is denied for failure to meet timely filing requirements unless provider, state, federal, or CMS contracts and/or requirements indicate otherwise when a provider can: Provide a date of claim receipt compliant with applicable timely filing requirements. Anthem Blue Cross and Blue Shield and our subsidiary company, HMO Nevada. 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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