Timely Filing Limit
Denial Series
Timely Filing
• Time limit is given to provider
• Any special contract
• Every insurance will have their own TFL
• Claim after TFL will not be paid
Proof of Timely Filing
• Clearing House Acceptance Report
• Screen shot – Billing History
• Denied EOB – previous insurance
• Patient Insurance update details
Information
• When the claim received?
• What is the timely filing limit
• What kind of proof they will accept?
• Appeal address & appeal limit
• Fax # & attention to

Denial - Timely filing

  • 1.
  • 2.
    Timely Filing • Timelimit is given to provider • Any special contract • Every insurance will have their own TFL • Claim after TFL will not be paid
  • 3.
    Proof of TimelyFiling • Clearing House Acceptance Report • Screen shot – Billing History • Denied EOB – previous insurance • Patient Insurance update details
  • 4.
    Information • When theclaim received? • What is the timely filing limit • What kind of proof they will accept? • Appeal address & appeal limit • Fax # & attention to