#Bcbs timely filing limit for secondary claims code
Diagnosis(es) (ICD-9-CM Code and Description).A clean claim consists of the following information:.Northwood will process Blue Care Network claims and remit payment for clean claims within 30 days of receipt.Submit paper claims with the required medical and other carrier payment documentation to the following address:.Claims statusing must be submitted within 90 days from claim payment date.Filing limitations apply to all claims, including claims previously submitted and returned for missing or incomplete documentation.Stockings for Medicare Primary/BCN secondary Members do not require submission to Medicare for denial however, providers must obtain prior authorization and bill Northwood within the 6 month filing limitation.Medicare Supplemental and other secondary claims must be submitted with an attached EOB, within 180 days from the date the claim is paid by other carrier or plan.BCN Commercial and BCN Advantage claims must be submitted to Northwood within 6 months from the date of service.Secondary claims must be submitted hard copy and include the EOB.Ĭlaims submitted without the required information will be rejected and must be resubmitted within the filing limitation timeframe (see below).
Not otherwise classified (NOC) claims must be submitted hard copy.ELECTRONIC claims must be completed according to HIPAA 837 transaction requirements detailed on Northwood’s website.Manufacturer’s name, description, and product number documented in Box 19 of the CMS claim form for not otherwise classified (NOC) items.Physician’s written order including NPI number.PAPER claims must be completed in entirety and include.Submitted electronically or on a CMS 1500 Claim Form.
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