How long does it take BCBS to pay a claim?

Asked by: Ms. Kaelyn Gerlach Sr.  |  Last update: August 1, 2025
Score: 4.7/5 (38 votes)

If you don't receive final payment and claim disposition in a timely manner (within 30-45 days of our receipt of your claim), please use an electronic technology to check your claim's status.

How long does it take BCBS to reimburse?

Reimbursement timelines

Major payers, such as United Healthcare, Aetna, Cigna, and certain BCBS plans often process claims and issue reimbursements within a week of the appointment. Other, smaller payers may take up to 4 weeks to process claims.

How long does it take to get paid out by insurance?

Insurance companies are often criticized for delays in paying out claims, leaving policyholders frustrated and financially strained. On average, in the United States, uncomplicated insurance claims are paid within 30 days. However, more complex claims may take much longer.

What is the expected payout for the BCBS settlement?

The Net Settlement Fund is estimated to be approximately $1.9 billion. This is after deducting attorneys' fees, administration expenses and other costs from the $2.67 billion Settlement Fund.

How long does it take for health insurance to pay a claim?

How long health insurers have to pay claims. Your health plan must let you know if your claim is being accepted or denied within 30 business days of receiving a claim. HealthPartners pays most submitted claims within four weeks.

How Long Does It Take For BCBS To Process A Claim? - InsuranceGuide360.com

25 related questions found

Why is my health insurance claim taking so long to process?

Unfortunately, health insurance companies can sometimes be slow when it comes to processing health insurance claims. In some cases, a delay in a health insurance claim is the result of an insurer investigating a claim and deciding that it doesn't fall within the health plan's scope of coverage.

How long does it take for insurance claims to be processed?

The time limit set for the claim settlement process by the IRDAI is within 30 days of raising the claim. Most insurance companies settle the claims within 10 days. Read on to know everything about the claim settlement process.

How to check BCBS claim status?

Use our interactive tool to find your local Blue Cross and Blue Shield company's website and access your account. On their website, you'll be able to look up your health plan, review a claim and more. Enter the first three letters of the Identification Number from your member ID card.

How soon will I get my settlement check?

Injured victims usually have to wait 30 to 60 days to receive their settlement check. This is mostly due to factors like the defendant's insurance policy, the type of personal injury case, and more. The fastest way to receive your check is to have an attorney handle the process for you.

What is a good settlement offer?

A reasonable settlement offer is one that includes medical expenses, lost wages, pain and suffering, and property damage. While it varies from case to case, an experienced personal injury lawyers can help you find a reasonable amount for your case.

Why do insurance payouts take so long?

Your insurance company will investigate who's responsible for the accident, as well as whether there's coverage for the injuries, damage, or other loss you filed the claim for. A coverage investigation can take just as long or even longer than an investigation to determine liability.

Can I keep extra money from an insurance claim?

You may be able to keep excess money as long as you're not violating your provider's rules or committing insurance fraud.

How long does it take for an insurance company to make an offer?

In many situations, insurance companies will respond to offers and counteroffers quickly, usually making a decision within a few days to a few weeks. However, this can go on much longer. There are some situations where it can take weeks to months before you can agree to the settlement amount offered.

What years does the BCBS settlement cover?

The settlement class includes all U.S. providers, who provided health care services, equipment, or supplies to BCBS members from July 24, 2008, to October 4, 2024.

How long does it take to get money back from insurance?

Payments Must Be Made Within 30 Days of Settlement

These requirements include deadlines for when an insurance provider must respond to your claim and resolve it. California's insurance laws also limit how long an insurer can usually take before paying you after they reach a settlement with you on your claim: 30 days.

How long does compensation take to pay out?

From the day your case is settled, it could take up to 28 days to receive your payout. But in many cases, it will be much faster. You may be able to get your compensation within just a few days of your settlement being agreed with certain insurers.

What is the longest a settlement can take?

What is the longest a settlement can take? The duration of a personal injury settlement can vary dramatically, with complex cases potentially taking several years to resolve, though there's technically no absolute maximum time limit beyond the statute of limitations.

Can you track a settlement check?

Now that all legal fees, related costs, and debts are cleared, your settlement check is mailed to you for the remaining amount. It's advisable to ask your attorney if they can provide you with a tracking number so that you can track your settlement check online, as it moves through the mail system.

How long will the BCBS settlement be in review?

Settlement Status

The Court granted final approval to the Settlement on August 9, 2022. On January 26, 2024, the Eleventh Circuit Court of Appeals denied an appeal of their October 25, 2023 decision affirming approval of the Settlement Agreement.

How do I know if my insurance claim was approved?

The payer will typically assign the finalized status of this claim within 7-10 business days. If the claim is Accepted, there won't be further action required from you. If the claim is Rejected, the payer will let you know why so you can make corrections and resubmit.

Why was my Blue Cross claim denied?

Your claim may be denied if: There was an error when the claim was filed, such as missing or incomplete information in the claim documents. Your plan does not cover the service you're claiming. The service was deemed not medically necessary.

Why is my insurance claim taking so long?

» FAQs » Why do Insurance Companies Take So Long to Pay Out? Insurance companies may conduct an extensive investigation into an accident to determine fault and liability. This is one reason why it may take a long time for insurance companies to pay out.

What are the three most common mistakes on a claim that will cause denials?

Here, we discuss the first five most common medical coding and billing mistakes that cause claim denials so you can avoid them in your business:
  • Claim is not specific enough. ...
  • Claim is missing information. ...
  • Claim not filed on time (aka: Timely Filing)

How long does an insurance company take to make a decision on claim?

Typically, insurance companies have 15 days to acknowledge receipt of the claim you submit. That does not mean they have to decide within that time frame. They then have 15 days to investigate the claim. They have 40 days to settle the claim from start to finish.