![]() ![]() Interest in these issues is growing as the share of beneficiaries grows. Aetna's filing deadline is 120 days, and Humana's is 180 days, or 90 days for ancillary providers.There is a great deal of controversy and uncertainty regarding profits in the Medicare Advantage (MA) program. Cigna and UnitedHealthcare also have a 90-day deadline for the submission of in-network claims from the date of service. 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.
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