Timely Filing Limit
The time frame for a claim submitted to the insurance is referred as a timely filing limit. It is set by the insurance companies to submit the initial claim for the service rendered. If a claim is submitted after the time frame from the service date, the claim will be denied as the timely filing limit expired.
To avoid the denial, charges must be created within 24 hours from the service date and has to be sent out to the payer on the same day. For example, if an insurance claim filing time frame is 90 days from the service date, the patient was treated on Jan 1st, then the provider has to file the claim before 31st March. Denial code for timely filing limit expired is CO29 (The time limit for filing has expired).
| Insurance | Time frame |
|---|---|
| Aetna | 120 days |
| Amerigroup | 90 Days for Participating Providers or 1 year for Non Participating Providers |
| Bankers life | 15 months |
| BCBS | 3/6 months based on provider contract |
| Cigna | 90 days |
| Cigna Healthspring | 120 days |
| Coventry | 180 days |
| Humana Commercial | 180 days |
| Humana Medicare Advantage | 1 Year |
| Kaiser Permanante | 90 days |
| Magnacare | 6 months |
| Medicaid | 6 months |
| Medicare | 1 Year |
| Medicare Rail Road | 1 Year |
| Tricare | 1 Year |
| United American Ins | 1 Year |
| United Health Care | 90 days |
| VA | 90 days |
| WellCare | 180 days |
This Post Has 2 Comments
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Unfortunately we are still working on second pass and appeals timely filing limit. We will share it in our site as soon as it is ready.
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