The rule change being posted for public comment is updating a specific paragraph in policy that had not been previously updated with the correct timely filing limit. The limit remains at 6 months from the date of service to submit a timely claim, and then once a claim is submitted timely, the provider has 6 more months to resubmit the claim if necessary, see OAC 317:30-3-11.1. For additional information, including Timely Filing Requirements, Coordination of Benefits (COB), Medicare Crossover process and more, please refer to the BCBSIL Provider Manual.
Some doctors’ offices/clinics may accept other health insurance plans. Plans accepted vary by doctor’s office/clinic, service area and county. If you have Original Medicare or Medicare Advantage, or are about to turn 65, find a doctor and make an appointment.
These rule changes do not change the timely filing limits in the main section of policy that deals with timely filing, OAC 317:30-3-11. WellMed accepts Original Medicare and certain Medicare Advantage health plans. One would think 6 months would be ample time but as of late I have become increasingly skeptical in SSA's ability to assist a non-tech savvy citizen, or if the citizen has to troubleshoot their online SSA account. If OKDHS is not able to verify someone's SSI through their means it can be a significant challenge on the client to acquire that information from the SSA to provide to OKDHS.
Administratively, I think this makes sense, I am but slightly hesitant due to the challenges Social Security has had during the pandemic.
