If previous notes states, appeal is already sent.If we have clearing house acknowledgement date, we can try and reprocess the claim over a call.Anthem is committed to working with Providers and Facilities to meet the needs of Members. If claim history states the claim was submitted to wrong insurance or submitted to the correct insurance but not received, appeal the claim with screen shots of submission as proof of timely filing(POTF) and copy of clearing house acknowledgement report can also be used. Anthem Blue Cross and Blue Shield Maine Provider Manual Effective J8. coordination of benefits, timely filing limits, and other requirements to administer the benefits under this Plan.If the first submission was after the filing limit, adjust the balance as per client instructions. ![]() ![]() Effective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct.
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