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Video instructions and help with filling out and completing blue cross reimbursement form
How melissa has said before this is a question that comes up all the time in coding billing and practice management courses that I work with so I just thought I'd go over it one more time for the students that had never heard me talk about it before and it's to explain the filing limits with the insurance claims for the initial claim as well as the appeal process so basically we'll be discovering information about how all insurance companies do enforce filing limits for both their initial claim submission as well as for appealing claims so you really need to know you pay your filing limits and create a cheat sheet for your demographic area and when filing or appealing a claim you want to be absolutely sure that you get those claims in early because there are always technical problems or if you're using snail mail things get lost in the mail and it happens more often than not so if a doctor gives you a charge today and expect you to transmit it tonight and thinks it's going to be okay because the cut-offs tomorrow I can bet you that it didn't go through for some reason there's always a delay and insurance companies do look for specific proof of when they received it in order for you to get paid so you want to pay also attention to notifications of changes regarding time constraints for years we were dealing with a year and a half with Medicare and then they change to one-year submission so you if you know pay attention to any of your payers notifications because they will send them to you via email if you sign up on their website and lastly when you do your aging the follow up I can't say it enough just pay attention to your follow up because you can see trends there as far as claims not being paid and you can see well gee if this whole bunch didn't get paid there might be a problem and so forth so the filing limit I can't stress enough so below is an example of how this particular payer which is TRICARE allows 90 days from the data service to bill out a claim but the biller really has to know all the filing rules so in this particular case you can move it up just a little bit chlorine okay we see at the top that the date of the notice of when the doctor got paid was May 15 2021 and below where the other red arrow is it shows data service April 8 2021 and it was paid so it clearly is showing me that the biller you know had the work and transmitted it right away and TRICARE paid it but what I do want to point out is that if for any reason this claim denied or there was any type of an issue with it if you were appealing to.