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Anthem Reduces Timely Filing Limit to 90 Days

Anthem Reduces Timely Filing Limit to 90 Days

Anthem is changing their timely filing limit for professional claims. Beginning October 1, 2019, all claims will be subject to a 90-day filing requirement, and according to the payer, “Anthem will refuse payment if [claims are] submitted more than 90 days after the date of service.”

For years, Anthem’s timely filing limit has been 180 days. In 2016, when some professional and ancillary provider contracts inadvertently included a 90-day filing limit, Anthem issued a blanket correction, confirming their 180-day filing limit at that time. “One hundred eighty days has been the Anthem Blue Cross and Blue Shield (Anthem) standard since 2007,” the payer explained.

The new 90-day requirement reflects Anthem’s commitment to “simplify processes, improve efficiencies, and better support coordination of care.” The change also aligns Anthem with other commercial payers, including Aetna, Cigna, and United Healthcare, all of whom have 90-day timely filing limits for claims. Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. Meanwhile Medicare’s filing limit remains 12 months from the date of service, and traditional Indiana Medicaid has a 180-day filing limit.

For more information about the change, review Anthem’s Provider Communications article “Reminder: Changes to timely filing requirements coming in October.”

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Charity Singleton Craig

Charity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.

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