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.”
— All rights reserved. For use or reprint in your blog, website, or publication, please contact us at firstname.lastname@example.org.