Providers may also call BCBSAZ Health Choice Pathway Claims Customer Service or Member Services for eligibility at 1-80, TTY 711, 8 a.m. Should you have difficulty registering you may refer to the Log-in Tutorial. After you have registered, you will be able to view only your member’s claim information. Providers must pre-register on-line prior to having access to this confidential information. Providers can visit the BCBSAZ Health Choice Pathway Web site to review claims and check member eligibility. How may I check Claims Status or Claims Inquiry? Phoenix, AZ 85021 Maricopa and Pinal Counties Providers currently contracted with Health Choice may mail or fax written notification of their NPI number to the Network Services. More information on NPI is available online at Centers for Medicare and Medicaid Services. Providers may use their Medicare/UPIN number in Box 33 or continue to use the AHCCCS Provider ID as currently used when billing Health Choice.Įffective January 1, 2007, Health Choice will allow the option to submit claims using the National Provider Identifier (NPI), however, effective May 23, 2007, all claims are required to submitted with the NPI. Which Provider ID # should be used on the Claim Form for BCBSAZ Health Choice Pathway Phoenix, AZ 85072-2033 What is BCBSAZ Health Choice Pathway’ Payor ID#? Advanced Medical Practice Management does not accept any responsibility for any loss which may arise from reliance on information contained on this site.Last Updated: Jat 5:33 pm Claim Submissions and Coordination of Benefits Where should Plan Providers send their Claims? Sheet, verify insurance coverage to make sure you are billing the claim to theĬorrect primary carrier and most importantly, create workflows with checksĪnd balances to make sure all encounters on the schedule are billed out.ĭisclaimer: The materials contained on this website are provided for informational purposes only and do not constitute legal or other professional advice on any subject matter. Whatever your situation, acting fast can mean the differenceīetween a paid claim and a write off. AMPM has successfully appealed claims that were over 3 years old when we took over a new client’s Old AR. This is where a detailed letter explaining the situation is critical. However, if you did not file a claim in a timely manner, explain why. This can include EDI logs and insurance correspondence. In this case, you will need to produce documentation to show proof that the claim was sent and received within the allowed time frame. When a claim is denied for timely filing, this does not mean all options have been exhausted. If you actually filed a claim within the limits, you should certainly appeal. Can a denial for timely filing be contested? Finally, make sure you have timely filing limits for inpatientĬare because these limits may vary. Also, it is important to note that appeals for timelyįiling denials come with their own timely limits and should be listed on your The US, it is advisable to create a spreadsheet with filing limitations for the If a claim is received after the specified date, the carrier will deny the claim with no patient responsibility.Īs a medical billing company that services providers throughout Payers set their timely filing limit based on the date of service rendered. This time frame mayĮven vary for different plans within the same insurance carrier. Different payers will haveĭifferent timely filing limits some payers allow 90 days for a claim to beįiled, while others will allow as much as a year. Which a claim must be submitted to a payer. In medical billing, a timely filing limit is the timeframe within
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