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Blue Advantage® (PPO) Timely Filing Guidelines

Beginning January 1, 2012, claims must be filed 15 months from the date of service. Prior to January 1, 2012, claims must be filed on or before December 31 of the calendar year following the year in which the services were furnished. Services furnished in the last quarter of the year are considered furnished in the following year (i.e., the time limit is the second year after the year in which services were furnished). There may be penalties for violating these filing guidelines.

Date of Service
Timely Filing Deadline
October 1, 2010 through September 30, 2011
December 31, 2012 (27 months)
October 1, 2011 through December 31, 2011
December 31, 2012 (15 months)
Beginning January 1, 2012
15 Months From the Date of Service

Blue Advantage (PPO) is a Medicare-approved PPO Plan.

Last Updated October 2013