![]() ![]() Wait to bill all services rendered on the same day together.Verify that the correct service location address is displayed in box #32 on the claim form. Medicare Timely Filing Guidelines Timely Claim Filing Requirements Reopenings Timely Filing Frequently Asked Questions (FAQs) Updated: 04.02.When indicated/appropriate, provide complete medical records to ensure the claim is not denied for additional information needed.For coding denials, send the appropriate medical records for the claim to be reviewed.Provide Complete Medical Records and Correct Claim Form Information For codes where the LT/RT modifier is required, make certain to add the modifier in two different lines as two separate units or, as per the CMS guidelines, bill the CPT with the 50 modifier. When billing a bilateral CPT code, verify that the code is inherently bilateral, meaning providers need not add any additional modifier.Confirm that the age of the member matches with the diagnosis code billed on the claim.Check the coding crosswalk to confirm that the codes you are submitting are compatible with each other before billing. Claims for recipients who have Medicare and Medicaid coverage must be filed with the Medicare fiscal intermediary within 12 months of the date of service in.Dental providers, may reference Clinical Corner – Dental and behavioral health providers may reference the Beacon Provider Handbook. DEFINITIONS AND ACRONYMS: Centers for Medicare and Medicaid Services (CMS). *Other claim types, such as dental and behavioral health, may have different claims timely filing requirements. Outlines CHRISTUS Health Plan Claims Submission and Timely Filing guidelines. ![]() If you need to speak with someone, call Provider Services at 86.our hours are 8 a.m.
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