HORIZON BCBS TIMELY FILING PROFESSIONAL

The following are examples of typical professional services that require claims submission. If previous notes states, appeal is already sent. All claims must be submitted within 180 days of the date of service.If we have clearing house acknowledgement date, we can try and reprocess the claim over a call.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. We are excited to announce that Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ) has partnered with Hackensack Meridian Health to form Healthier New Jersey Insurance Company d/b/a Braven Health.If the first submission was after the filing limit, adjust the balance as per client instructions. An Explanation of Payment (EOP) will be sent to you outlining patient liability. We will process your claims and send you reimbursement for all eligible services. Review the application to find out the date of first submission. You are required to: Send claims to us for your Horizon BCBSNJ and BlueCard program patients.Whenever claim denied as CO 29-The time limit for filing has expired, then follow the below steps: If claims submitted after the timely frame set by insurances, then those claims will be denied by insurance companies as CO 29-The time limit for filing has expired.

To help you with such issues, you are encouraged to use our IVR system or to speak with a Physician Services Representative by calling 1-80, between 8 a.m. Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims. Horizon's goal is to provide prompt responses to your inquiries and timely resolution of complaints.

Horizon bcbs timely filing