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Anthem Changes Timely-Filing (TFL ) Deadlines Effective On October 1, 2019

Anthem has sent out a notice to all providers who have signed non-Medicare (Commercial) or Medicare Advantage contracts with them, stating as, 

“Effective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct. 1, 2019, the Anthem Blue Cross and Blue Shield (Anthem) Provider Agreement(s) will be amended to require the submission of all commercial and Medicare Advantage professional claims within ninety (90) days of the date of service. 

This means all claims submitted on or after October 1, 2019 will be subject to a ninety " (90) day Timely Filing requirement.”

Medicare’s rule for timely filing is,“Claims must be filed to the appropriate Medicare claims processing contractor no later than 12 months, or 1 calendar year, after the date the services were furnished.”

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