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    v1.0.28
    OpenPayerToolsTimely FilingBlue Cross Blue Shield - Maine

    Blue Cross Blue Shield - Maine Timely Filing Policies

    • Blue Cross Blue Shield - Maine prior authorization
    • Blue Cross Blue Shield - Maine coverage criteria
    • All Blue Cross Blue Shield - Maine policy updates

    Latest Blue Cross Blue Shield - Maine timely filing updates6

    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-23Proof of Timely Filing for ClaimsThis reimbursement policy governs what documentation or circumstances Blue Cross Blue Shield - Maine will accept to reconsider claims denied for late filing; it applies to providers submitting claims to the plan.All Blue Cross Blue Shield - Maine updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-06-03Claims Timely FilingGoverns the timeframes and conditions under which Anthem Blue Cross and Blue Shield (including Maine) will consider reimbursement for initial claims; affects participating and nonparticipating providers and facilities submitting claims to the health plan.All Blue Cross Blue Shield - Maine updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-06-03Reimbursement Policy Claims Timely FilingDefines the health plan's timely filing limits and rules for reimbursement of initial claims, and outlines circumstances affecting filing deadlines for providers submitting claims to Blue Cross Blue Shield - Maine.All Blue Cross Blue Shield - Maine updates
    • Timely FilingReimbursement/Payment PolicyEff. 2021-11-19Proof of Timely FilingDefines evidence acceptable to demonstrate claims were received within timely filing limits and describes circumstances under which AMH Health will reconsider denials for late filing; applies to providers submitting claims to AMH Health, LLC.All Blue Cross Blue Shield - Maine updates
    • Timely FilingReimbursement/Payment PolicyEff. 2021-07-23Corrected Claims, Reimbursement PolicyGoverns reimbursement and submission rules for corrected claims submitted to AMH Health (Blue Cross Blue Shield - Maine) including timely filing, marking requirements, and exceptions for disasters and state/federal mandates. Applies to participating and non-participating professional providers and facilities.All Blue Cross Blue Shield - Maine updates
    • Timely FilingReimbursement/Payment PolicyEff. 2019-05-24Documentation of Proof of Timely FilingThis reimbursement policy governs documentation requirements and criteria for proving timely filing of claims for Anthem/Anthem Medicare Advantage providers and outlines circumstances for reconsideration when timely filing limits are missed.All Blue Cross Blue Shield - Maine updates
    1–6 of 6
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    Tool Description

    Find Blue Cross Blue Shield - Maine timely filing policies: claim submission deadlines, corrected claim windows, and appeal timeframes.

    Search a payer name (“Anthem,” “Amerigroup”) or a phrase (“filing limit” or “claim submission”), or open a payer's page for every filing policy on file.

    Each result links the full policy page, which carries the specific deadlines in context along with the source document and effective dates.

    Pair a filing search with the live policy updates feed for the newest payer publications, the prior authorization lookup for approval requirements, and payer profiles for contacts and coverage context.

    FAQ

    A timely filing limit is the deadline a payer sets for submitting a claim after the date of service. Limits vary by payer and contract, commonly ranging from 90 days to one calendar year for initial claims. Claims submitted after the deadline are denied for timely filing, and payers publish the exact rules in their filing policies.

    Tool Description

    Find Blue Cross Blue Shield - Maine timely filing policies: claim submission deadlines, corrected claim windows, and appeal timeframes.

    Search a payer name (“Anthem,” “Amerigroup”) or a phrase (“filing limit” or “claim submission”), or open a payer's page for every filing policy on file.

    Each result links the full policy page, which carries the specific deadlines in context along with the source document and effective dates.

    Pair a filing search with the live policy updates feed for the newest payer publications, the prior authorization lookup for approval requirements, and payer profiles for contacts and coverage context.

    FAQ

    A timely filing limit is the deadline a payer sets for submitting a claim after the date of service. Limits vary by payer and contract, commonly ranging from 90 days to one calendar year for initial claims. Claims submitted after the deadline are denied for timely filing, and payers publish the exact rules in their filing policies.

    Timely Filing by Payer

    Alabama Department Of Insurance22020-01-01
    Alaska Medicaid2—
    Amerigroup32025-10-23
    Anthem312026-06-15
    Blue Cross Blue Shield - Maine62025-10-23
    Blue Cross Blue Shield - Nevada32025-06-03
    Blue Cross Blue Shield - North Carolina42025-10-23
    Blue Cross Blue Shield - Oklahoma12025-01-02
    Blue Cross Blue Shield - Rhode Island32020-03-01
    Blue Cross Blue Shield - Texas12025-01-08
    Blue Cross Blue Shield - Wisconsin22021-11-19
    Care_continuum42020-02-01
    Delaware Department Of Insurance12020-04-09
    Empire Bluecross12021-07-23
    Fallon_community_health_plan_inc1—
    Harvard Pilgrim Health Care5—
    Healthfirstofnewyork22024-05-01
    Highmark Blue Cross Blue Shield Wny22025-10-23
    Humana12026-06-01
    Mississippi Division Of Medicaid72024-07-01
    Molina Healthcare22023-09-01
    Neighborhood Health Plan Of Rhode Island2—
    New Mexico Health Care Authority32017-10-01
    North Carolina Department Of Insurance22018-09-19
    Optum12023-11-01
    Peach State Health Plan12008-07-01
    Priority Health1—
    South Carolina Department Of Insurance12020-04-24
    Wellsense_health_plan12021-03-01
    West Virginia Bureau For Medical Services (Department Of Human Services)12024-10-01

    Go deeper

    Explore OpenPayer Data

    Filing deadlines vary by payer and change more often than you would think. See every payer policy update in the live policy feed, or browse the health insurance payer directory.

    Toolbox

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    • Billing Code LookupSearch CPT, HCPCS, J-codes, DRG, and dental codes by number or procedure name.
    • Billing Code Reimbursement RatesBuild a reimbursement rate report across any mix of billing codes and states, comparing commercial payers against Medicare.
    • Payer Comparison DashboardPick 2-5 payers to compare market share, premium, and membership by region, all at once.
    • Facility Comparison DashboardPick 2-6 hospital facility types (or add a specific hospital) to compare facility count, revenue, net income, and Medicare/Medicaid payer mix by region, all at once.
    • Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
    • Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
    • Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
    • CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
    • Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
    • Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
    • Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.
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