A claim should be filed as soon as possible after receiving care.
Deadline for Filing Medical Claims: All claims and any additional information requested must be filed with BCBSMS within 12 months of the day you received services or supplies.
A Special Note about Medical Claims: BCBSMS does not consider a claim to be received for processing until the claim is actually received in the proper form, with all of the necessary information provided. Ensure all necessary information is filed with the claim and forms are completed appropriately. It is the participant's responsibility to ensure that claims are filed within the time limits. Claims filed after the time limits have expired are not eligible for benefits and will be denied.
Submit Complete Claims on Time
File your medical claims promptly and make sure all forms and necessary details are included. If claims are incomplete or late, they may not be eligible for benefits. Stay within the 12-month deadline to avoid issues.
Deadline for Filing Prescription Drug Claims: All claims and any additional information requested must be filed with CVS Caremark within 12 months of the day you received services or supplies.