But, you can use the chart below to remind you about your timely filing deadlines. So, how do you become a timely filing superhero? Well, unfortunately, there’s no sweet signal in the sky to warn you about timely claim submission danger. Furthermore, if you aren’t familiar with all of your timely filing deadlines and you end up submitting a claim late, you’ll be dealing with denials-the kind that typically can’t be appealed (Pow! Blap! Ouch!). So, while you and your staff are treating patients, determining diagnosis codes, and submitting claims, you also have to keep track of all your contracted requirements. That sounds simple enough, but the tricky part isn’t submitting your claims within the designated time frame it’s knowing what that time frame is, and that’s because there’s no set standard among all payers. For example, if a payer has a 90-day timely filing requirement, that means you need to submit the claim within 90 days of the date of service. Timely filing is when you file a claim within a payer-determined time limit.
#Aetna medicare timely filing guidelines download
Whoops! I mean, check out these timely filing tips and download the cheat sheet below for reference. So, how do you know when your claim submissions are early, on time, or downright late? Look to the Bat-Signal for guidance, of course. Because with claim submissions, lateness isn’t only unacceptable it also causes denials. Or, maybe it’s because this rule truly applies in many situations-even in physical therapy billing. If you’re on time, you’re late.” Maybe I think that way because I have a Type A personality (holy organization, Batman). Yes, Policy number same as member ID number and also known as subscriber ID number.When it comes to punctuality, here’s my motto: “If you’re early, you’re on time.
In order to get rid of this denial or sometimes delay in processing, Provider or Billing companies has to find out the correct address by BCBS prefix from the above list before filing the claim.
In that case claim may be denied as “Submit the claim to the correct address / Member ID not found”. In some case provider or billing company may file the claim to an incorrect address without checking the correct BCBS address. Suppose assume claims filed with an incorrect member ID number or BCBS prefix by Provider or Billing companies, then BCBS insurance will deny the claim stating “Incorrect member ID, please submit with an correct member ID number”. Stand-alone dental products, vision and pharmacy when delivered through an intermediary model.īCBS Prefix should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company.BCBS FEP – It’s indicated with letter R followed by the id number.BCBS Prefix:īCBS prefix is a three character prefixes followed by the id number except for the following products and programs. Policy number is a unique number, which is provided to their insured person by respective insurances in order for identification purposes and also for billing the healthcare claims. BCBS Prefix List Alpha & Alpha Numeric : AAA to AZZīlue Cross Blue Shield Provider Phone Number Blue Cross Blue Shield Federal Phone Number BCBS prefix List plays a vital role in filing the health care claims properly to the correct BCBS address and also to verify member’s eligibility, health insurance coverage information and to reach the correct BCBS department to check the claim status or disputes of the claim.
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