Important reminder: Submit claims on time

It’s critical that you follow submission deadlines for all claims. Starting May 24, 2013, filing limits will be strictly enforced.

If you submit a claim after your filing limits, Blue Cross Blue Shield of Michigan will not offer any special handling or filing extensions, and no payment will be due from BCBSM or the subscriber. If you haven’t submitted a claim because you’re having difficulty identifying a member’s contract number, log in to web-DENIS and use the Subscriber Name Search feature.

Deadline submissions for original claims remain the same — 180 days from the date of service for professional providers and 12 months from the date of service for facility providers. If you're submitting a Master Medical claim that will be paid to the subscriber, the filing limit will be two years. Claims for dates of service prior to the contract migrating to MOS are pay-subscriber. After MOS migration, the provider is paid and regular filing limits apply.

Health care providers must also submit secondary claims, status inquiries and adjustments within 24 months of the date of service.

Please note that secondary, tertiary, dental and all pay-subscriber claims for Federal Employee Program^® members must be submitted by Dec. 31 of the year following the original date of service.

This information is included in your BCBSM participation agreement.

For more information about this requirement, see the related article in the April 2013 issue of The Record or contact your provider consultant.