We recently received a notification from International Medical Group (IMG), that they have been receiving a “high volume” of claims being submitted after the “Timely Filing Limit”.
This post is to remind you the intent of the BBFI Medical Plan is that claims be submitted within 180 days from the date of service.
Because IMG is legally bound to process claims as specified in the BBFI Medical Plan document, claims submitted outside “Timely Filing” may not be eligible for reimbursement.
Under certain circumstances, claims “may be” considered up to one year from the date of service, but only as noted in the plan wording below.
TIMELY FILING OF CLAIMS
Claims should be filed with the Contract Administrator on behalf of the Plan within 180 days of
the date charges for the service were incurred. Benefits are based on the Plan’s provisions at the
time the charges were incurred. Claims filed later than that date may be declined or reduced
unless:
International Health Plan that it was not reasonably possible to submit the claim
in that time; and
period will not apply when the Participant or Dependent demonstrates to the
satisfaction of BBFI International Health Plan that he/she was not legally capable
of submitting the claim.
We encourage you to submit your claims as soon as possible.
As always, if you have any questions, please do not hesitate to contact Michael Duff at the Mission Office!