RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Connecticut: Anthem Health Plans, Inc. HMO products underwritten by HMO Colorado, Inc. June 2021 Anthem Provider News - KentuckyĪnthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. Use these helpful tips when filing your claims because Anthem understands that timely payments are as important as timely filing. It is important to note that the member cannot be billed for denied claims that were not filed timely. If your claim denies because it was filed late, Anthem will deny the claim as outlined in your contract with us. The sooner you file the faster your claim is paid.įiling your claim within the timely filing limits can eliminate claim denials. You may also be able to check the claim to verify no adjustments are needed through the Claims Status Listing application located on the Payer Spaces home page. Log onto and use the Claims & Payment tab for the Claims Status tool. It is easy to check your claim online to confirm we’ve received it. From the Patient Registration tab use the Eligibility and Benefits Inquiry tool for a quick and easy search. To check the member’s eligibility or to get a digital copy of the member’s ID card, log onto. To make sure your claim is received on time, double check the member’s insurance information with each visit to your office confirming their primary insurance. Have you confirmed the patient is an Anthem member?Īnother reason claims are delayed is because the claim was filed with Anthem, but it should have been filed with another insurance company first. This gives you the opportunity to correct claims quickly, avoiding delays in filing and running the risk of a claim denial because it wasn’t filed within the timely filing limit. Checking in regularly with your clearinghouse is key to identifying claims errors. When you send claims electronically through a clearinghouse, if errors are identified on the claims, they won’t get submitted for payment. One way to ensure your claim isn’t denied because it wasn’t received within timely filing limits is to follow-up with your clearinghouse on a regular basis. At Anthem Blue Cross and Blue Shield (Anthem), we want your claims to be received on time, so they get paid on time. Nationally, 7 percent of all claims are denied because they weren’t filed within the timely filing limits.
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