BC Advantage - 2019 Issue 7
Anthem is Changing their Timely Filing Requirements for All Plans Including Medicare Advantage
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Article Overview
This article summarizes a change Anthem communicated to providers about timely filing requirements across commercial and Medicare Advantage professional claims. It places that notice in the broader context of Medicare Advantage billing rules, provider contract terms, and other potential avenues mentioned for addressing late claims. The piece is aimed at medical billers, coders, and healthcare providers who need to understand payer policy changes and the general compliance implications.
Why This Topic Matters
Timely filing limits can determine whether a claim is payable, so payer notices like this can affect revenue cycle management, appeals, and contract decisions. The article helps readers recognize that Medicare Advantage policy may differ from original Medicare and that plan-specific or contract-based deadlines may apply.
Article Sections
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Anthem notice on timely filing deadlines
Summarizes the payer communication about a revised filing deadline for certain claims and the timing of the change.
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Medicare filing timeframe and Medicare Advantage context
Discusses the general Medicare filing timeframe and contrasts it with the way Medicare Advantage plans may handle filing requirements.
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Contract-based deadlines and possible appeal paths
Explains that some plans tie filing requirements to provider contracts and mentions broader dispute or appeal avenues referenced by the article.
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Additional payer notices and related topics
Notes that other payer communications and related policy changes are expected to be discussed separately.
What You Will Learn
- How a payer notice can change timely filing expectations for providers
- How Medicare Advantage filing policies may differ from general Medicare filing rules
- Why provider contract terms can affect claim submission deadlines
- What general types of follow-up options are mentioned for late claims
Who Should Read This
- Medical billers
- Medical coders
- Revenue cycle staff
- Healthcare providers
- Practice administrators
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