Complete This Form to Notify Blue Cross and Blue Shield of Louisiana of a Possible Overpayment for an Out of State
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People also ask
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Can I use Blue Cross Blue Shield of Louisiana out of state?
When you're a Blue Cross and Blue Shield of Louisiana plan member, you take your health care benefits with you — across the country and around the world — through the BlueCard program.
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What is the timely filing for BCBS of Louisiana?
Blue Cross claims must be filed within 15 months, or length of time stated in the member's contract, of the date of service. Claims received after 15 months, or length of time stated in the member's contract, will be denied, and the member and Blue Cross should be held harmless for these amounts.
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How long do you have to file an appeal in Louisiana?
An appeal which suspends the effect or execution of an appealable judgment or order must be filed within thirty days. An appeal which does not suspend the effect or execution of an appealable judgment or order must be filed within sixty days.
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What is the timely filing limit for Healthy Blue Louisiana corrected claims?
The corrected claim must be received within the timely filing limit due to the initial claim not being considered a clean claim. For participating and nonparticipating providers, Healthy Blue follows the standard of 365 days from the date of service.
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What is the timely filing limit for Medicaid appeal in Louisiana?
A member, Authorized Representative, or legal representative may file an Appeal with the Plan, orally or in writing, within sixty (60) Calendar Days from the date on the notice of Adverse Benefit Determination.
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What is the timely filing limit for Healthy Blue Louisiana corrected claims?
The corrected claim must be received within the timely filing limit due to the initial claim not being considered a clean claim. For participating and nonparticipating providers, Healthy Blue follows the standard of 365 days from the date of service.
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How do I appeal my Louisiana Healthcare Connections provider?
If you feel you need a fast appeal decision, call 1-866-595-8133 (TTY: 711) and ask for the Appeals department. Our Medical Director will make a decision on your request and we will let you know within 72 hours (3 days).
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How long do you have to file an appeal with Healthy Blue Louisiana?
The member, or the member's representative, can file an appeal within 60 calendar days from the date on the Healthy Blue Notice of Action.
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