Timely filing limits for some of the important insurances like Aetna timely filing limit, Medicare timely filing, BCBS timely filing, UHC, Cigna timely filing limits and many more in the following table.
Insurances | Timely Filing Limit for all Insurances 2019 |
---|---|
AARP | 15 Months |
Advantage Care | 6 Months |
Advantage Freedom | 2 Years |
Aetna timely filing | 120 Days |
Ameri health ADM Local 360 | 1 Year |
American Life and Health | 12 Months |
American Progressive | 1 Year |
Amerigroup | 90 Days for Participating Providers or 12 months for Non Participating Providers |
Amerihealth ADM TPA | 1 Year |
AmeriHealth NJ & DE | 60 Days |
Arbazo | 180 Days |
Bankers Life | 15 Months |
BCBS timely filing for Commercial/Federal | 180 Days from Initial Claims or if its secondary 60 Days from Primary EOB |
BCBS COVERKIDS | 120 Days |
BCBS Florida timely filing | 12 Months |
BeechStreet | 90 Days |
Benefit Trust Fund | 1 year from Medicare EOB |
Blue Advantage HMO | 180 Days |
Blue Cross PPO | 1 Year |
Blue Essential | 180 Days |
Blue Premier | 180 Days |
Blue Shield timely filing | 1 Year |
Blue shield High Mark | 60 Days |
Cigna timely filing (Commercial Plans) | 90 Days for Participating Providers or 180 Days for Non Participating Providers |
Cigna HealthSprings (Medicare Plans) | 120 Days |
Citrus | 1 Year |
Coventry | 180 Days |
Evercare | 60 Days |
First Health | 3 Months |
GHI | 1 Year |
Great West | 90 Days |
Great West | 15 Months |
Healthcare Partners | 90 Days |
Healthnet HMO | 90 Days |
Healthnet PPO | 120 Days |
Horizon NJ Plus | 365 Days |
Humana | 180 Days for Physicians or 90 Days for facilities or ancillary providers |
Humana | 27 Months |
ILWU | 3 Years |
Keystone Health Plan East | 60 Days |
Local 831 Health | 1 year |
Magna Care | 6 Months |
Marilyn Electro IND. Benefit Fund | 1 Year |
Medicaid | 95 Days |
Medicare | 1 Year |
Mega Life and Health | 15 Months |
Memorial IPA | 90 Days |
Monarch IPA | 90 Days |
Mutual of Omaha | 1 year |
NASI | 2 Years |
Omnicare IPA | 90 Days |
One Healthplan | 15 Months |
Operating Engineers | 1 Year |
Pacific Health Care IPA | 90 Days |
Pioneer Medical Group | 60 Days |
Polk Community Health Care | 180 Days |
Prospect Medical Group | 90 Days |
PUP | 180 Days |
Quality Health Plan | 1 Year |
Secure Hoizons | 90 Days |
Sun | 180 Days |
Tricare | 12 Months |
UFCW | 1 year |
UHC Community | 120 Days |
Unicare | 24 Months |
United Health Care - UHC COMMERCIAL | 90 Days |
Veterans Admin | 90 Days |
Vista | 120 Days |
Wellcare | 180 Days |
It is the time limit set by the insurance companies to submit the initial claims for the services rendered to their subscribers. It is calculated from the date service provided. If suppose claims submitted after the time frame from the DOS, claims will be denied as untimely filing. So it is better to know the time frames to submit the initial claims within a time frame.
Time frame usually depends on the insurance company and above is the list of timely filing limits of all insurance companies.
In this post you have seen Aetna timely filing limit, Medicare, BCBS and Cigna timely filing limit. Please let me know if anything needs to be updated or add any insurance timely filing limits in the comments box below.
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