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. Medicare claims must be filed to the MAC no later than 12 months, or 1 calendar year, from the date the services were furnished. If they have your insurance information, theyll file your claim for you. First, you and your staff obviously have to be efficient about filing claims. Visit a North Carolina hospital for services or emergency care. 1.Ī shorter time limit for filing claims increases the importance of two office functions. If you need claim filing assistance, please contact your provider advocate. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. You can also get information on Medicare claims here. 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. 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. With the changes implemented with GHI, Anthem does not receive Medicare Claims until. Notice of your claim must reach Blue Cross and Blue Shield of Kansas within one (1) year and ninety (90) days from the date services were received. 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. The Facility should file the Claim to Anthem Blue Cross and Blue Shield.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |