Anthem Blue Cross Blue Shield
Anthem Blue Cross Reimbursement Policy for Timely Filing
Pages
4
Time to read
5 mins
Publication
Language
English
Pages
4
Time to read
5 mins
Publication
Language
English
This document is a reimbursement policy guide from Anthem Blue Cross regarding the proof of timely filing for claims. It outlines the conditions under which the health plan will reconsider reimbursement for claims that were not accepted due to failure to meet timely filing requirements. The policy specifies that a care provider must either provide a compliant date of claim receipt or demonstrate 'good cause' for the delay. The document details acceptable forms of documentation for proof of timely filing, including requirements for claims submitted by mail and electronically. It also defines 'good cause' and lists circumstances that may establish it, such as administrative errors or unavoidable delays. Additionally, the policy includes related coding standards and references to other relevant policies. The document emphasizes the importance of following proper billing and submission guidelines to avoid claim rejection or denial.