MedicaidJuly 9, 2024
Claims timeliness
Per APL 23-020, Anthem will pay all claims within contractually mandated statutory timeframes and in accordance with the timely payment standards in the Contract for clean claims within 45 working days of receipt. If Anthem does not pay a clean claim within 45 working days of receipt, Anthem will owe the provider interest at the rate of 15% per annum beginning on the first day after a period of 45 working days.
For additional information, see the provider manuals at the link below.
References:
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
CABC-CD-062457-24
PUBLICATIONS: August 2024 Provider Newsletter
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Visit https://providernews.anthem.com/california/articles/claims-timeliness-20787
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