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.
90 DAYS
2 years
90 DAYS
90 DAYS
WHAT IS THE TIMELY FILING
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
In Pennsylvania, medical claims timely filing refers to the requirement for healthcare providers to submit insurance claims within a specific time frame after services are rendered. Typically, this window is 90 to 180 days, depending on the insurer's policies. Timely filing is crucial because claims submitted after this period may be denied, impacting reimbursement for the services provided. Providers must adhere to these deadlines to ensure they receive payment for their services.
90 days from primary insurance payment/denial date.
claims filing limit
FL BCBS timely filing limit is 180 days
180