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Care challenging, appealing or requesting reconsideration of a claim.Changes to timely filing requirements for commercial and Medicare Advantage plans for all claims submitted to plan on or after October 1, 2019Īnthem Blue Cross and Blue Shield and HMO Colorado (hereinafter collectively referred to as Anthem) continues to look for ways to improve our processes and align with industry standards. A provider dispute is a written notice to L.A. The dispute resolution mechanism is handled in accordance with applicable law and your agreement. Care makes available to all practitioners a fast, fair and cost-effective dispute resolution mechanism for disputes regarding invoices, billing determinations or other contract, non-contracted issues. Care within 365 day from the date of service or the most recent action date, if there are multiple actions. L.A. Care Providers must bill with the most up-to-date current coding available for the date of services rendered.Ī practitioner has a right to file a dispute in writing to L.A. In order to take advantage of EDI, you'll need to register with Change Health Care clearinghouse and reference L.A. ![]() Receive immediate acknowledgement of claims received and confirmation through your clearinghouse within two days as to if claims have been accepted or rejected. #Blue cross timely filing verification#Immediate verification of claims received ![]() This editing reduces the likelihood of your claim being rejected or denied for payment once it enters the processing system. If your claim fails due to any pre-pass edit, the claim is returned back to your office for correction. Reduction of data entry and payment errorsĬlaims submitted electronically benefit from earlier detection of billing errors. #Blue cross timely filing professional#Care accepts all claims electronically, including professional and institutional related submissions 24 hours a day, seven days a week. Several immediate advantages can be realized by exchanging documents electronically, here are a few:
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