State & FederalMedicaidMarch 31, 2020

Update to corrected claims filing guidelines

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

The Corrected Claims reimbursement policy has been updated. Previously, the corrected claims timely filing standard was the following:
  • For participating providers — 90 days from the date of service
  • For nonparticipating providers — 15 months from the date of service

 

Effective August 1, 2020 we updated the corrected claims timely filing guidelines for Empire BlueCross BlueShield HealthPlus to follow the standard of 60 days from the date of payment for participating and nonparticipating providers.

 

NYE-NU-0193-20 February 2020