![]() ![]() ![]() If the claim is not in our system, please submit the claim to Cigna-HealthSpring immediately. The claim must be received within 120 days from date of service to be considered timely. Timely Filing Limits for Claim Submission Medicare MichiganĮffective January 1, 2017, claims must be filed no later than one calendar year from the date of service (DOS). ![]() AETNA MEDICARE TIMELY FILING LIMIT PROFESSIONALįor Institutional invoices, this will be calculated using the Claim Header “To/Through” date of service reported for professional and dental invoices, this will be calculated using the Claim Line “From” date of service. In addition, claims for services furnished prior to Janumust be submitted no later than December 31, 2017. Primary insurance taking back payment after timely filing billing limitation has passed Retroactive provider enrollment is not considered an exception to timely filing.Ĭlaims meeting all other exceptions are to be submitted as usual through the Community Health Automated Medicaid Processing System (CHAMPS) with appropriate remarks/notes justifying the exception request, such as.Judicial action/mandate: A court or Michigan Administrative Hearing System (MAHS) administrative law judge ordered payment of the claim.Medicaid beneficiary eligibility/authorization was established retroactively.Department administrative error has occurred.Exceptions to Timely Filing Limits Acceptable exceptions to the timely filing limits for claims submission include the following: Claims exceeding the new timely filing limits (over 1 year from the DOS) will be denied unless the claim meets exception(s) as listed below.Ī. AETNA MEDICARE TIMELY FILING LIMIT PROFESSIONAL. ![]()
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