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. Anthem Health (Coastwise Claims) 3 Years from Date of Service. FebruCOLUMBUS, OH Anthem Blue Cross and Blue Shield in Ohio today announced the completion of the transaction to acquire the Medicaid contract held by Paramount Advantage that currently serves 257,000 Ohio Medicaid enrollees. Charity Singleton CraigĬharity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. The BlueCard Program Preferred Provider will file your claim with the local Blue. For use or reprint in your blog, website, or publication, please contact us at. Claim information can be used by Anthem Blue Cross and CVS Caremark to. If you have any questions, please contact your local network representative. 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.” This means claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement, and Anthem will refuse payment if submitted more than ninety (90) days after the date of service 1. Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. 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. 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. It is also important to note: A shorter time. Services denied for failure to meet timely filing requirements are not subject to reimbursement unless the provider presents documentation proving a clean claim was filed within the applicable filing limit. As stated on AAFP, the time limit for Anthem plans to receive claims reduced to 90 days as of October 1st, 2019. Anthem is changing their timely filing limit for professional claims. Claims filed beyond federal, state- mandated, or Healthy Blue standard timely filing limits will be denied as outside the timely filing limit.
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