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Bcbs corrected claim timely filing limit12/29/2023 Participating providers: 1 year from date of remittance advice Highmark BCBS of Pennsylvania and West Virginia timely filing limit for filing claim as seconday payer: 365 Days from the Primary payer EOB dateĬarefirst Blue Cross Blue Shield timely filing limit - District of ColumbiaĬarefirst BCBS of District of Columbia limit for filing an initial claim: 365 days from the DOSĬarefirst Blue Cross Blue Shield of District of Columbia timely filing limit for reconsideration: 6 months from the orginal rejection notification notice of payment or electronic remittance adviceįlorida Blue timely filing limit - Floridaįlorida Blue timely filing limit for filing an initial claim: 180 days from the DOS Highmark Blue Cross Blue Shield of Pennsylvania and West Virginia timely filing limit for filing an initial claims: 365 Days from the Date service provided Highmark BCBS timely filing limit - Pennsylvania and West Virginia Highmark BCBS of Delaware timely filing limit for filing the claim as seconday payer: 120 Days from the Primary payer EOB dateīlue Cross Blue Shield timely filing limit - Mississippiīlue Cross Blue Shield of Mississippi timely filing limit for initial claim submission: December 31 of the calendar year following the year in which the service was renderedīCBS of Mississippi timely filing for appeal: 180 days from the date of denial Highmark Blue Cross Blue Shield of Delaware timely filing limit for filing initial claims: 120 Days from the DOS Highmark BCBS timely filing limit - Delaware Premera Blue Cross Blue Shield timely filing limit for Level 2 Appeal: 15 days from the date of Level 1 appeal decisionīlue Cross Blue Shield of Arizona Advantage timely filing limitīCBS of Arizona Advantage timely filing limit for filing an initial claims: 1 year from DOSĪnthem Blue Cross timely filing limit (Commercial and Medicare Advantage plan) Eff: October 1 2019Īnthem Blue Cross timely filing limit for Filing an Initial Claims: 90 Days from the DOS ![]() Premera Blue Cross Blue Shield timely filing limit for Level 1 Appeal: 365 from the date that prompted the dispute Premera BCBS of Alaska timely filing limit for filing an initial claims: 365 Days from the DOS Premera BCBS timely filing limit - Alaska Please refer to your Member Guide to confirm that your pharmacy benefits are offered through Blue Cross NC.Anthem Blue Cross Blue Shield Timely filing limit 2019 - NamesĪnthem BCBS Time Limit for filing Claim or Appeal (In some cases, employer groups carve out the prescription drug benefit and contract with a vendor separately. Prescription drug claims should be sent to: To file a claim for prescription drug benefits obtained at a non-participating pharmacy, you may download the form online. If your member ID card says Medco on the back, your prescription benefits are administered through Medco, Inc. Complete a claim form to file a claim for prescription drug benefits obtained at a non-participating pharmacy. If your member ID card says Prime Therapeutics on back, your prescription benefits are administered through Prime Therapeutics. If you need a claim form or help on how to file a claim, call Blue Cross NC's Customer Service at 1-87 or write to: However, you will need to file claims for any lenses, frames and dental products or services received. ![]() The participating provider will file claims for you. In most instances you do not have to file claims.
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