Admission Notification Form PBCBS AK - premera.com 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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The majority of our providers complete the credentialing process within 60 days or less. The credentialing process requires a new Practitioner/Provider to submit an application.
Timely notification of admissions assists with timely payment of claims, reduces retroactive admission reviews and enables CHWP to concurrently monitor member progress. SERVICES REQUIRING NOTIFICATION.
We will process itwithin 30 days of receipt. Premera explains how a claim has been processed in the form of an explanation of benefits statement (EOB). The EOB is not a bill.
Most insurance companies are typically given between 15 to 90 days to investigate a claim and accept or deny it, depending on the specific state regulations, the type of the claim, and the cases complexity. For instance: Straightforward property damage claims may be resolved more quickly.
Insurance claims can take up to 30 days to process. The insurance carrier needs to review each claim and ensure that the treatment is valid and covered under the patients plan. Often an individual agent is responsible for investigating several claims, which can slow down the process.
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Around 99 percent of all claims BlueCross receives are processed within 30 days. Its important to note that these are not arbitrary decisions. We compare the service you requested or received against these criteria: the details of your health plan, which you can find in your evidence of coverage
Ideally, wed like you to submit claims within 60 calendar days of the covered services, but no later than 365 calendar days from the date of submission. For most plans, well deny claims received more than 12 months after the date of service with no member responsibility.

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