If Anthem is the secondary payer, the 90-day period won't begin until the provider receives notification of the primary payer's responsibility.ģ. Anthem will refuse payment if a claim is submitted more than 90 days after the date of service. 1 will be subject to the new filing deadline. In California, only Anthem Blue Cross plans are affected Blue Shield operates independently.Ģ. However, the change notification was absent from Anthem's Virginia website, and some states' websites specified the change was only applicable to Medicare Advantage plans. An Anthem representative told ABC that the new deadline applies to all Anthem states. Massachusetts physicians charged with tax evasion and fraudĪnthem Blue Cross Blue Shield Healthcare Solutions changed its timely filing deadlines, shortening both its 180-day allowance for in-network claims and its 365-day allowance for out-of-network claims, according to Anesthesia Business Consultants.ġ.Missouri physician pleads guilty to $537K Medicare fraud scheme.Bon Secours to pay $2.23M in malpractice verdict following patient death.North Carolina cardiologist to pay $5M over allegations of false Medicare, Medicaid claims.Oklahoma physician, pharmacist charged with manslaughter in patient death.The wealthiest US physician is worth $22.6B.New York physician sues employer for alleged bias.Texas physician sentenced for overprescribing opioids.2 more eye drops recalled in response to contamination risks.
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