Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List
| Anthem Blue Cross Blue Shield Timely filing limit 2019 - Names | Anthem BCBS Time Limit for filing Claim or Appeal |
|---|---|
| Premera BCBS timely filing limit - Alaska | Premera BCBS of Alaska timely filing limit for filing an initial claims: 365 Days from the DOS Premera Blue Cross Blue Shield timely filing limit for Level 1 Appeal: 365 from the date that prompted the dispute Premera Blue Cross Blue Shield timely filing limit for Level 2 Appeal: 15 days from the date of Level 1 appeal decision |
| Blue Cross Blue Shield of Arizona Advantage timely filing limit | BCBS of Arizona Advantage timely filing limit for filing an initial claims: 1 year from DOS |
| Anthem Blue Cross timely filing limit (Commercial and Medicare Advantage plan) Eff: October 1 2019 | Anthem Blue Cross timely filing limit for Filing an Initial Claims: 90 Days from the DOS |
| Highmark BCBS timely filing limit - Delaware | Highmark Blue Cross Blue Shield of Delaware timely filing limit for filing initial claims: 120 Days from the DOS Highmark BCBS of Delaware timely filing limit for filing the claim as seconday payer: 120 Days from the Primary payer EOB date |
| Blue Cross Blue Shield timely filing limit - Mississippi | Blue Cross Blue Shield of Mississippi timely filing limit for initial claim submission: December 31 of the calendar year following the year in which the service was rendered BCBS of Mississippi timely filing for appeal: 180 days from the date of denial |
| Highmark BCBS timely filing limit - Pennsylvania and West Virginia | Highmark Blue Cross Blue Shield of Pennsylvania and West Virginia timely filing limit for filing an initial claims: 365 Days from the Date service provided Highmark BCBS of Pennsylvania and West Virginia timely filing limit for filing claim as seconday payer: 365 Days from the Primary payer EOB date |
| Carefirst Blue Cross Blue Shield timely filing limit - District of Columbia | Carefirst BCBS of District of Columbia limit for filing an initial claim: 365 days from the DOS Carefirst Blue Cross Blue Shield of District of Columbia timely filing limit for reconsideration: 6 months from the orginal rejection notification notice of payment or electronic remittance advice |
| Florida Blue timely filing limit - Florida | Florida Blue timely filing limit for filing an initial claim: 180 days from the DOS Appeals: Participating providers: 1 year from date of remittance advice Non participating providers submitting appeals for Medicare advantage denials: 60 days from the date of remittance advice |
| BCBS timely filing limit - Hawaii | Blue Cross Blue Shield of Hawaii timely filing limit for initial claim submission: End of the calendar year following the year in which you received care |
| Blue Cross Blue Shield timely filing limit - Louisiana | Blue Cross timely filing limit for filing an initial claims: 15 months from the DOS Blue cross for OGB members - 12 months from the DOS Appeals: 180 days from the denial date |
| Anthem Blue Cross Blue Shield timely filing limit - Ohio, Kentucky, Indiana and Wisconsin | Anthem BCBS of Ohio, Kentucky, Indiana and Wisconsin timely filing limit for filing an initial claims: 90 Days form the date service provided |
| Wellmark Blue Cross Blue Shield timely filing limit - Iowa and South Dakota | Wellmark BCBS of Iowa and South Dakota timely filing limit for filing an initial claims: 180 Days from the Date of service |
| Blue Cross Blue Shield timely filing limit - Alabama | BCBS of Alabama timely filing limit for filing an claims: 365 days from the date service provided Blue Cross Blue Shield of Alabama timely filing limit for appeal: 180 days from the date you are notified |
| BCBS timely filing limit - Arkansas | Blue Cross Blue Shield of Arkansas timely filing limit: 180 days from the date of service |
| Blue Cross timely filing limit - Idaho | Blue Cross of Idaho timely filing limit for filing an claims: 180 Days from the DOS |
| BCBS timely filing limit - Illinois | Blue Cross Blue shield of Illinois timely filing limit for filing an claims: End of the calendar year following the year the service was rendered |
| BCBS timely filing limit - Kansas | Blue Cross Blue shield of Kansas timely filing limit for filing an claims: 15 months from the Date of service |
| Blue Cross timely filing limit to submit an initial claims - Massachusetts | HMO, PPO, Medicare Advantage Plans: 90 Days from the DOS Indemnity: 1 year from the DOS If initially filed to an incorrect payer: 90 Days from the incorrect payer rejection date (Note: Claim should be submitted to other payer within 90 days) If its secondary insurance: 1 year from the primary payer payment date If its secondary insurance (Denied by primary payer (HMO, PPO, Medicare Advantage plan)): 90 days from the primary payer denial date If its secondary insurance (Denied by primary payer (Indemnity Plan)): 1 year from the primary payer denial date |
| Blue Cross Complete timely filing limit - Michigan | Blue Cross Complete timely filing limit for filing an initial claims: 12 months from the DOS or Discharge date Resubmission or corrected claims: Must be resolved within 1 year from the DOS unless an exception exists as they follow MDHHS guidelines. (Please call customer care for exception details) When its secondary payer: 120 days from the primary insurance letter or remittance date Authorization decision: Standard Appeal: 60 days from the date of denial Expedited Appeal: 10 days from the date of denial Utilization management decision (Standard Appeal): 30 days from the date of denial |
| Blue Cross Blue Shield Timely filing limit - Minnesota | BCBS of Minnesota Timely filing limit for filing an initial claim: 120 days from the DOS Blue Cross Blue Shield Timely filing limit for filing as secondary claim: 120 days from the primary payer EOB date |
| BCBS timely filing limit - Montana | Blue Cross Blue Shield of Montana timely filing limit for filing an claim: 120 Days from DOS |
| Horizon BCBS timely filing limit - New Jersey | Horizon Blue Cross Blue shield of New Jersey timely filing limit for filing an initial claims: 180 Days from the date of service |
| BCBS timely filing limit - New Mexico | Blue Cross Blue Shield of New Mexico timely filing limit for filing an claims: 180 Days from the date of service BCBS of New Mexico timely filing limit for submitting Appeals: 90 Days form the Remittance Advice/Provider Claim summary |
| BCBS timely filing limit - New York | Blue Cross Blue Shield of Western New York timely filing limit for filing an claims: 120 Days from the Date of service Blue Shield of Northeastern New York timely filing limit for filing an claims: 120 Days from the Date of service |
| Blue Cross Blue Shield timely filing limit - North Carolina | BCBS of North Carolina timely filing limit for filing an claims: December 31 of the calendar year following the year the service was rendered |
| Blue Cross Blue Shield timely filing limit - Oklahoma | BCBS of Oklahoma timely filing limit for filing an initial claims: 180 days from the Date of Service |
| BCBS timely filing limit - Nebraska | Blue Cross Blue Shield of Nebraska timely filing limit for filing an initial claims: It depends on the plan, please check with insurance Adjustments or revisions: 18 months from the date of the last payment If its secondary payer: 120 days form the date provider receives the primary EOB |
| Capital Blue Cross timely filing limit | Filing an initial claims: 12 months from the date of service |
| Independence Blue Cross timely filing limit | Filing an initial claims: 120 Days from the date of service |
| Blue Cross Blue Shield timely filing limit - Rhode Island | BCBS of Rhode Island timely filing limit for filing an claims: 180 Days from the date of service Non Participating Providers: 365 Days from the Date of Service Appeals: 60 Days from the EOP date |
| BCBS timely filing limit - Tennessee | Blue Cross Blue shield of Tennessee timely filing limit for filing an claims: 120 Days from the date of service |
| BCBS timely filing limit - Texas | 180 days from the DOS |
| Blue Cross Blue Shield timely filing limit - Vermont | 180 Days from the DOS If its secondary payer: 180 Days from the Primary EOB date Adjustments: 180 days from the date of original denial or payment |
| BCBS timely filing limit - Wyoming | Blue Cross Blue Shield of Wyoming timely filing limit for filing an initial claims: 12 months from the date of service |