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).

InsuranceTime frame
Aetna120 days
Amerigroup90 Days for Participating Providers or 1 year for Non Participating Providers
Bankers life15 months
BCBS3/6 months based on provider contract
Cigna90 days
Cigna Healthspring120 days
Coventry180 days
Humana Commercial180 days
Humana Medicare Advantage1 Year
Kaiser Permanante90 days
Magnacare6 months
Medicaid6 months
Medicare1 Year
Medicare Rail Road1 Year
Tricare1 Year
United American Ins1 Year
United Health Care90 days
VA90 days
WellCare180 days

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    This Post Has 2 Comments

    1. naheediqbal@mtbc.com

      I Need All insurances timley filing detail with First Pass Timely Filing Limit,Second Pass Timely Filing Limit, Appeals Timely Filing Limit

      1. Rajan N Chandra

        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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