Claims Processing Change to Begin 7/1/24

Fecha: 01/07/24

Ambetter from Absolute Total Care values the relationships we have with our provider partners. We want to ensure that doing business with us is easy and straightforward. We are pleased to announce that, effective July 1, 2024, Ambetter from Absolute Total Care will be extending the timely filing for initial claims from 120 business day to 180 calendar days from date of service. Days are calculated from the Date of Service (DOS) to the date that claims are received by Ambetter. For observation and inpatient stays, the claim received date is calculated from the date of discharge. Claims received on or after July 1, 2024, will process under the new guideline for 180 calendar days.

The Ambetter from Absolute Total Care Provider Manual and Quick Reference Guide available on Ambetter from Absolute Total Care website will be updated to reflect these changes.

Please contact your Provider Engagement Administrator or call Provider Services at 1-833-270-5443 with any questions you may have.