A timely filing denial is when an insurance company rejects a medical claim because it was submitted after the deadline. Denial Code CO29
When thinking about submitting claims on time, there are two time frames to keep in mind:
- The time from when the initial claim was submitted,
- and the time from when it was denied or resubmitted.
Each Payer has their number of days requirement--based on one of the above and if the provider is in network or out of network.
For Example:
Amerigroup
- Participating Providers: 180 days
- Non-Participating Providers: 365 days
Good news! At Ensora MH, when you utilize the Ensora Clearinghouse (Apex) vs. a non partnered clearinghouse, our Team is able to provide a timely filing letter from the clearinghouse at your request to accompany the supporting documents you have.