Anthem follows the standard of 365 days for participating and nonparticipating providers and facilities. Timely filing is determined by subtracting the date of service from the date we receive the claim and comparing the number of days to the applicable federal or state mandate.
The original claims to be submitted within 180 days or 6 months from date of service. A claim that was denied for missing or erroneous information be resubmitted to correct the misinformation within 3 months from the month of the date of service or when the denial occurred; whichever is later.
Anthem follows the standard of: • 90 days for participating providers and facilities.
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.
Effective for dates of service on or after July 1, 2020, provider claims must be submitted within 365 calendar days from the date of service or discharge. Providers also have 365 calendar days from the date of service or discharge to submit a corrected claim.
What are the timely filing requirements? Timely filing requirements are generally 90 days from the date of service. Non-network provider and secondary claims filing limit is 6 months from date of discharge or date of service.