Claims filing guideline update

Effective with claims for dates of service Jan. 1, 2013, contracted and non-contracted providers will be required to submit all medical service claims within 120 days of the date of service, or for facilities, within 120 days from the date of discharge. Corrected bills will also be required to be resubmitted within 120 days of the date of the remittance. If BlueCare or TennCareSelect is secondary to a commercial insurer or Medicare, claims must be submitted within 120 days from the date the primary insurer’s remittance was produced.