claims filing limit
In New York, the timely filing limit for Medicaid is generally within 90 days from the date of service. It is important to submit claims promptly to ensure reimbursement. Claims filed after the timely filing limit may be denied for payment.
45 Days from Date of Service
45 days
12 months or one year
180 days
Timely Filing Complete claims are to be submitted to the third-party administrator, UMR, as soon as possible after services are received, but no later than six months from the date of service. A complete claim means that the Plan has all information that is necessary to process the claim. Claims received after the timely filing period has expired will not be considered for payment.
In Florida, it's 12 months from the date of service.
WHAT IS THE TIMELY FILING
90 days from primary insurance payment/denial date.
The timely filing limit for Aetna is now only 90 days. However, you can appeal the decision if you have proof of timely filing.
Timely Filing Limits for Managed Care