Billing section of Provider and Hospital Manuals updated

​Independence Blue Cross (IBX) has updated the following Billing Sections of the Provider and Hospital Manuals:

  • Provider Manual: Section 9
  • Hospital Manual: Sections 9 and 10

Updates to the manuals include:

  • IBX has clarified its timely filing guidelines, which require claims to be filed within 365 days from the date of service, in all manuals.
  • IBX now uses the Stream Clearinghouse by Smart Data Solutions for EDI transactions.
  • IBX has updated the policy on reimbursement for preoperative exams for outpatient surgery.

To view Section 9: Billing or any section of the Provider Manual, go to the Resources page and select Provider Manual. 

For Section 9: Billing & Reimbursement for Hospital Services or Section 10: Billing & Reimbursement for Ancillary Services, or any section of the Hospital Manual, navigate to the Resources page and select Hospital Manual. 

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