Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
Anthem and Blue Cross Blue Shield are related, but they are not the same company. While they are both top health insurance providers in the USA, the big difference is that Blue Cross Blue Shield is the umbrella that is made up of several independent companies, and one of these smaller companies is Anthem.
Currently, Anthem requires physicians to submit all professional claims for commercial and Medicare Advantage plans within 365 days of the date of service. Under the new requirement, all claims submitted on or after October 1, 2019, will be subject to the new 90 day filing requirement.
Customer Care Centers Call 888-831-2246 Option 4 and ask to speak with Dr.
Original (or initial) Medi-Cal claims must be received by the California MMIS FI within six months following the month in which services were rendered. This requirement is referred to as the six-month billing limit.
Claim forms are available by logging into the member website at blueshieldca or by contacting the benefit administrator. Please submit your claim form and medical records within one year of the service date.
Anthem will consider reimbursement for the initial claim, when received and accepted within timely filing requirements, in compliance with federal, and/or state mandates. Anthem follows the standard of: • 90 days for participating providers and facilities. 15 months for nonparticipating providers and facilities.
Anthem is not calling members regarding the cyberattack and is not asking for credit card information or social security numbers over the phone. All impacted members will receive notice via mail which will advise them of the protections being offered to them as well as any next steps.
Since Anthem licenses with Blue Cross Blue Shield, it only offers its own health insurance brands in certain states, including California, New York, and a dozen more. If you don't live in a state with Anthem health insurance, you may want to search for your own regional Blue Cross Blue Shield regional company.