How long do providers or members have to submit a claim?

In-Network and contracted providers have six months from the date of the service to send Blue KC claims to be processed. However, many providers will send us claims much sooner after your visit.

If you need to submit a claim after seeing an out-of-network or non-contracted provider, you have one year following the end of the year the service was rendered. For example, if you receive care on May 1st, 2024, you have until December 31st, 2025, to submit your claim. However, we recommend you submit your claim as soon as possible.