Saturday 20 August 2016

Timely filing limit for BBHHF providers

Timely Filing for BBHHF Providers;

Timely Filing Policy under Charity Care To meet timely filing requirements for the BBHHF Charity Care program, claims must be received within 180 days from the date of service. Claims that are 180 days old must have been billed and received within the 180 day filing limit.

The original electronic claim must have had the following valid information:
• Valid Provider Number
• Valid Member Number
• Valid Date of Service
• Valid Bill Type

Claims that are over 180 days must be submitted on paper with a copy of the original remittance advice showing where the claim was initially received PRIOR TO the 180 day limit. Claims with dates of service over 360 days are NOT eligible for reimbursement. This policy is applicable to reversal/replacement claims. If a reversal/replacement claim is submitted with a date of service that is over 180 days, the replacement claim must be submitted on paper with a copy of the original remittance advice to:

BBHHF Charity Care Program
Timely Filing
PO Box 2002
Charleston, WV 25327-2002.

You are NOT allowed to add additional services to the replacement claim. If additional services are billed on the replacement claim that were not billed on the original claim, and the dates of service are over 180 days, the claim will be denied for timely filing.

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