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Please contact your Practice Management System Vendor or EDI clearinghouse to inform them that you wish to initiate electronic 275 attachment submissions via payer ID: 27357.
Healthy Blue follows the standard of 365 days for participating and nonparticipating providers and facilities. Timely filing is determined by subtracting the date of service from the date we receive the claim, and comparing the number of days to the applicable federal or state mandate.
Filing an appeal Both in-network and out-of-network providers have the right to appeal our claims determinations within 60 calendar days of receipt of the claim denial. You can file an appeal in regard to things like: Provider credentialing.
You must file claims within 365 days from the date you provided services, unless there's a contractual exception.
TIMELY FILING GUIDELINES Print Straight Medicaid claims must be filed within 12 months of the date of service. KIDMED claims must be filed within 60 days from the date of service.
When you choose us, you make the choice for better health. We offer benefits and services for those who qualify for Healthy Louisiana (Medicaid).