![]() ![]() Highmark Blue Cross Blue Shield of Pennsylvania and West Virginia timely filing limit for filing an initial claims: 365 Days from the Date service provided Highmark BCBS timely filing limit - Pennsylvania and West Virginia Highmark BCBS of Delaware timely filing limit for filing the claim as seconday payer: 120 Days from the Primary payer EOB dateīlue Cross Blue Shield timely filing limit - Mississippiīlue Cross Blue Shield of Mississippi timely filing limit for initial claim submission: December 31 of the calendar year following the year in which the service was renderedīCBS of Mississippi timely filing for appeal: 180 days from the date of denial Highmark Blue Cross Blue Shield of Delaware timely filing limit for filing initial claims: 120 Days from the DOS Highmark BCBS timely filing limit - Delaware Premera Blue Cross Blue Shield timely filing limit for Level 2 Appeal: 15 days from the date of Level 1 appeal decisionīlue Cross Blue Shield of Arizona Advantage timely filing limitīCBS of Arizona Advantage timely filing limit for filing an initial claims: 1 year from DOSĪnthem Blue Cross timely filing limit (Commercial and Medicare Advantage plan) Eff: October 1 2019Īnthem Blue Cross timely filing limit for Filing an Initial Claims: 90 Days from the DOS Premera Blue Cross Blue Shield timely filing limit for Level 1 Appeal: 365 from the date that prompted the dispute Premera BCBS of Alaska timely filing limit for filing an initial claims: 365 Days from the DOS Premera BCBS timely filing limit - Alaska If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.Anthem Blue Cross Blue Shield Timely filing limit 2019 - NamesĪnthem BCBS Time Limit for filing Claim or Appeal BCBSIL makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity. Availity provides administrative services to BCBSIL. For complete details, refer to the BlueCard Program Manual.Īvaility is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals.The three-character prefix preceding the member’s ID number is critical for proper routing of BlueCard claims.The program allows you to submit claims for members from other BCBS Plans to the Illinois Plan.To confirm receipt and adjudication progress, check claim status.īlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) Plan to obtain health care services while traveling or living in another BCBS Plan’s service area. ![]() Blue Cross Medicare Advantage, c/o Provider Services, P.O.Blue Cross Community MMAI (Medicare-Medicaid Plan), c/o Provider Services, P.O.Blue Cross Community Health Plans, c/o Provider Services, P.O.Mail original claims to the appropriate address as noted below. There are different addresses for Blue Cross Community Health Plans SM, Blue Cross Community MMAI (Medicare-Medicaid Plan) SM and Blue Cross Medicare Advantage SM claims. For UB-04 (Institutional) claims, visit National Uniform Billing Committee (NUBC).For CMS-1500 (Professional) claims, visit National Uniform Claim Committee (NUCC).Please refer to the following websites for assistance with proper completion of paper claim forms: Electronic reports are generated and sent automatically to confirm receipt and identify any errors that need to be rectified prior to adjudication and payment.Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).Advantages include greater security and accuracy of data, along with faster processing and payment.For vendor options and information, refer to the Electronic Commerce page. You or your billing agent will need to utilize a third-party claims clearinghouse vendor such as Availity ® to submit electronic Professional and Institutional claims (ANSI 837P and 837I transactions) to BCBSIL. For additional information, including Timely Filing Requirements, Coordination of Benefits (COB), Medicare Crossover process and more, please refer to the BCBSIL Provider Manual. This section provides a quick introduction to filing claims with BCBSIL. ![]()
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