![]() Just fill out the Authorized Representative Form (PDF). This form gives your representative the permission to communicate with Blue Cross Blue Shield of Michigan on a one-time basis about your appeal. You can select someone to act on your behalf at any step of the grievance and appeals process, including your physician. You can use it by itself or with a formal letter of appeal. ![]() You can use the Member Appeal Form (PDF) to submit your appeal. You may submit written materials or testimony to help us in our review at any step of the grievance or appeals process. Under either process, we won't charge you anything extra for filing a grievance or appeal. The length of time you have to file an appeal will depend on whether you're eligible for an appeal under a state or federal process. If you were unable to resolve your concern through customer service, we have a formal grievance and appeals process. It's also at the top right-hand corner of your Explanation of Benefit Payments statements. You can find the number on the back of your Blue Cross ID card. If you have a question or concern about how we processed your claim or request for benefits, contact customer service. 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.įor more information about how we use your data, please review our privacy policy.Blue Cross Blue Shield of Michigan wants to make sure you're satisfied with the services you receive as a member. Charity Singleton CraigĬharity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. For use or reprint in your blog, website, or publication, please contact us at. ![]() Meanwhile Medicare’s filing limit remains 12 months from the date of service, and traditional Indiana Medicaid has a 180-day filing limit.įor more information about the change, review Anthem’s Provider Communications article “ Reminder: Changes to timely filing requirements coming in October.” Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. 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. How do I submit corrected claims electronically Blue Cross Blue Shield of Nebraska requires that a claim sent electronically must also be submitted. “One hundred eighty days has been the Anthem Blue Cross and Blue Shield (Anthem) standard since 2007,” the payer explained. 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. 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 submitted more than 90 days after the date of service.”įor years, Anthem’s timely filing limit has been 180 days. For additional information, including Timely Filing Requirements, Coordination of. ![]() Anthem is changing their timely filing limit for professional claims. This section provides a quick introduction to filing claims with BCBSIL. ![]()
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