Submitting Proof of Timely Filing Attach documented proof of timely submission to the EOP and circle the claim to be adjusted. You may submit a written or verbal complaint within 18 months from the date of the Horizon BCBSNJ decision or action with which you are dissatisfied. For example, creditable prescription drug coverage from an employer or union that is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage. To ensure timely payment, submit the claim with the other carrier’s retraction statement within 60 days of date on retraction statement. Our representatives will help submit patient insurance information, including managed care, no-fault, workers compensation, Medicare & Medicaid claims. Submitting a claim correctly the first time increases the cash flow to your practice, prevents costly follow-up time by your office or billing staff, and reduces the uncertainty members feel with an unresolved claim. ![]() *If you don’t have a creditable prescription drug coverage for 63 days or more, you may have to pay a late enrollment penalty. A key factor in getting claims processed in a timely manner is correct claims submission. You’ll return to Original Medicare if you switch from a Medicare Advantage plan (with drug coverage) to a Medicare prescription drug plan.* Important Note: If you change from a Medicare Advantage plan that includes prescription drug coverage to a Medicare prescription drug plan, this will disenroll you from your Medicare Advantage plan. There are only certain times when you can disenroll. The Medicare secondary payer (MSP) program requires Medicare to be the secondary payer for hospital and medical services provided to certain Medicare. We'll let you know if you're able to leave your plan. ![]() Medicare Advantage (MA) or Medicare Advantage Prescription Drug (MAPD)Ĭall us at the number on your ID card if you want to leave your current plan and not join another one.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |