![]() “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. Blue Cross Blue Shield of Michigan or your local Blue Cross plan will reimburse you.Anthem is changing their timely filing limit for professional claims.Blue Cross Blue Shield of Michigan or your local Blue Cross plan will send you the remittance advice.You cannot charge a patient if you did not submit the claim to us.Submit claims within one calendar year of the date of service or we cannot pay for the service.Not all enhanced benefits are covered by all Medicare Plus Blue individual or group plans. Reference our Enhanced Benefit Policy Papers for specific billing requirements for enhanced benefits. For enhanced benefits: Verify coverage for a specific member by calling Provider Inquiry at 1-86. ![]() Specialty pharmacies: File claims with the plan in the state where the ordering physician is located.Durable medical equipment suppliers: File claims with the plan in the state where the equipment or supplies were shipped to (including mail order supplies) or purchased (if they were purchased at a retail store). ![]()
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