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    • September 29, 2014

    Effective for dates of service beginning on or after Jan. 1, 2015, Wellmark claims must be received within 180 days from the date of service or the discharge date. This is a change from the current 365-day timely filing guideline.

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    • May 20, 2015

    Beginning in May 2015, Wellmark will apply additional iCAP (Improving the Claims Adjudication Process) edits. Editing means Wellmark may deny or alter the claim line (e.g., reducing the number of units of service on a claim line from 5 to 3) based on the payment policy that is invoked on the claim line. Formerly iCAP editing was applied to the... more

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