Changes to timely filing requirements coming in October
In the effort to simplify our processes, align with industry standards, and better support coordination of care, Anthem Blue Cross (Anthem) is changing professional agreements to adopt a common time frame for the submission of claims. Notification was sent June 21, 2019, to providers of applicable networks and contracts.
Effective for all claims received by Anthem on or after October 1, 2019, all impacted contracts will require the submission of all professional claims within ninety (90) days of the date of service. This means claims submitted on or after October 1, 2019 will be subject to a ninety (90) day timely filing requirement, and Blue Cross will refuse payment if submitted more than ninety (90) days after the date of service1.
If you have any questions, email our Network Relations staff at CAContractSupport@anthem.com.
1If Plan is the secondary payor, the ninety (90) day period will not begin until Provider receives notification of primary payor’s responsibility.
July 2019 Anthem Blue Cross Provider News - California