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. 1.Ī shorter time limit for filing claims increases the importance of two office functions. The updated limit will: Start on January 1, 2022. Providers should expect to see filing limit denials for this new timeframe beginning in 2023. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. One way to ensure your claim isn’t denied because it wasn’t received within. At Anthem, we want your claims to be received on time, so they get paid on time. Nationally, seven percent of all claims are denied because they weren’t filed within the timely filing limits. 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. Regular check-ins with your clearinghouse could affect timely filing. 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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