They knew that by enhancing the health care of their customers, they could lower costs for all of their clients. Medicare Supplement insurance companies eventually reached out to her to incorporate the program into their benefit plans. She began networking with gyms, fitness centers, and other healthcare outlets across the country to provide these resources to anyone over the age of 65. This basic program of exercise plus accountability became the bedrock of the SilverSneakers program she later created.Īfter her father’s transformation, Mary realized other people his age or older needed the same information and support. Knowing his commitment, she supported him with accountability that ultimately transformed his health and life. Because of her knowledge of health and fitness, Mary helped him design a program for strength, flexibility, and cardio fitness. She watched his recovery and the determination he had to improve his health. Mary’s father survived a heart attack at age 51. The SilverSneakers Fitness program was founded in 1992 by Mary Swanson. What is SilverSneakers? History of the Program Ability to choose any doctor who accepts Medicare as a form of payment.Household Discount on the Premium (where available).Anthem provides the SilverSneakers program to all its policyholders.īeyond SilverSneakers, Anthem offers several other benefits: She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.įor more information about how we use your data, please review our privacy policy.Yes. Charity Singleton CraigĬharity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. For use or reprint in your blog, website, or publication, please contact us at. Meanwhile Medicare’s filing limit remains 12 months from the date of service, and traditional Indiana Medicaid has a 180-day filing limit.įor more information about the change, review Anthem’s Provider Communications article “ Reminder: Changes to timely filing requirements coming in October.” Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. The new 90-day requirement reflects Anthem’s commitment to “simplify processes, improve efficiencies, and better support coordination of care.” The change also aligns Anthem with other commercial payers, including Aetna, Cigna, and United Healthcare, all of whom have 90-day timely filing limits for claims. “One hundred eighty days has been the Anthem Blue Cross and Blue Shield (Anthem) standard since 2007,” the payer explained. In 2016, when some professional and ancillary provider contracts inadvertently included a 90-day filing limit, Anthem issued a blanket correction, confirming their 180-day filing limit at that time. Beginning October 1, 2019, all claims will be subject to a 90-day filing requirement, and according to the payer, “Anthem will refuse payment if submitted more than 90 days after the date of service.”įor years, Anthem’s timely filing limit has been 180 days. Anthem is changing their timely filing limit for professional claims.
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