Anthem Timely Filing

NEW TIMELY FILING LIMIT FOR ANTHEM BLUE CROSS PROVIDERS

Do you typically submit your cases for billing 60+ days following the date of service?

You could be headed for hard times!

Effective 10/1/2019, all claims must be received by Anthem no later than 90 days following the date of service.

RCM recommends that your cases be submitted on a monthly, if not weekly basis.   This allows sufficient time to properly process the claims, request any missing data from the provider, submit the claim and verify receipt with the payer.

This may not seem unusual for providers who hold multiple payer agreements, as they are aware of the normal 90-120 day timely filing limits in place.   Providers who only hold agreements with “the Blues” may need to make a serious adjustment to their submission process, given the impending 75% reduction to Anthem’s timely filing limit.