Billing Beat

Claim filing process updated for secondary claims, status inquiries, adjustments

October 25, 2012

A change is being implemented to update and align BCBSM claims filing process. The update requires that all health care providers submit secondary claims, status inquiries and adjustments within 24 months of the date of service, not from the paid or denied date, as previously communicated. Deadline submissions for original claims remain the same – 180 days for professional providers and 12 months for facility providers, from the date of service. If you submit a claim after the filing limits, Blue Cross Blue Shield of Michigan will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber under most circumstances.

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