Anthem BCBS: timely filing limit
Initial claim
90 days from date of service for commercial and Medicare Advantage professional claims, reported as standardized across Anthem-operated states since October 2019; non-participating providers in New York reportedly have 15 months
Clock starts from: date of service
Appeal window
No published default appeal window. Check the payer's own appeals policy.
Caveats
Anthem-administered Medicaid products in individual states (for example Indiana and Ohio) publish their own reimbursement policy documents with timely filing language that may differ from the commercial default; confirm against the state-specific Anthem Medicaid provider manual for that line of business.
Retrieved 2026-07-18.
Denied for timely filing already
See the timely filing denial code for the corrective actions and whether an appeal is worth filing.
Denial7 provides billing and administrative guidance based on published CMS and X12 sources. It is not medical advice, not a coverage determination, and not a guarantee of payment. NCCI and MUE edits are republished quarterly and payer policies vary by contract. Always confirm against the payer's own current policy before submitting or appealing.