Timely Filing Limit of Insurances
All insurance companies enforce filing limits for both initial claim submission as well as for appealing a claim. Timely filing limit is the amount of time that an insurance company allows providers to file the claim. This timely filing limit varies among insurances, also this timely filing limit varies based on the provider contract with the payer (Participating and non-participating providers). So according to provider contract with the payer, there is a predetermined amount of time that they will allow you to send your claim.
| Insurance Names | Claims Timely Filing Limit – TFL |
|---|---|
| Aetna timely filing limit | Aetna timely filing limit list for claims |
| Aetna Better Health timely filing limit | Aetna Better Health timely filing limit |
| Aetna Better Health Kids timely filing limit | Aetna Better-health-kids timely filing limit |
| Ambetter timely filing limit | 180 days from the date of service |
| Amerigroup timely filing limit | 90 days from date of service Corrected/Appeal claims: 60 days from the denial or payment date |
| American life and health timely filing limit | 1 year from date of service |
| AARP timely filing limit | 15 months from the date of service |
| Bankers Life timely filing limit | 15months from the date of service |
| BCBS Timely filing limit | BCBS Timely Filing limit list – Anthem State-wise (medicalbillingcycle.com) |
| Cigna Timely filing limit | 90 days from date of service(Participating Providers) 180 days from date of service(Non Participating providers) Corrected/Appeal: 180 days from the denial or payment date |
| Coventry Timely filing limit | 180 days from the date of service |
| Emblem Health Timely filing limit | 120 days from date of servcie |
| GHI Timely-filing-limit | One year from date-of-service(Participating-providers) Eighteen months from the date-of-service(Non-Participaitng- provider) Secondary Claims: 365 Days from the primary EOB date |
| Healthsprings Timely filing limit | 120 days from date of servcie Corrected/Appeal: 180 days from the denial or payment date |
| Healthfirst Timely filing limit | 1 year from date of service |
| Humana Timely filing limit | 90 days from the service date(Commercial) |
| Humana Medicare Timely filing limit | 1 year from the date service rendered(Medicare Advantage) |
| Humana Caresource Timely filing limit | 365 days from the service date |
| Humana Military timely filing limit | 1 year from the service date |
| Kaiser Permanente Timely filing limit | 90 days from the date of service |
| Keystone Timely filing limit | 180 days from the date of service CorrectedClaims: 365-days from the Denial-date |
| Medicare Timely filing limit | 12 months from the date of service Appeal: 120 days from the denial date |
| Medicaid Timely filing limit | 12 months from the service-date |
| Molina Healthcare Timely filing limit | One-Calendar year from the DOS Secondaryclaims: 180days from the primary-EOB-processing-date |
| Mutual of Omaha Timely filing limit | 1 year from the date of service |
| Nationwide Health Timely filing limit | 15 months from the date of service |
| Operators Engineers Timely filing limit | 1 year from the date of service |
| Tricare Timely filing limit | 1 year from the date of service(Non network provider) 90 days from the date of service(Participating provider) When tricare is secondary then 90 days from the primary paid or denied date. |
| United Health care Timely filing limit | Par-provider: Ninety days from DOS Non-Par-Provider – 120days from DOS Secondaryclaims: 90days from the primary EOB date Corrected claims: 120 days from initial payment Appeal: 1 year from date of original denial or payment |
| Wellcare Timely filing limit | 180 days from the date of service (Medicare) |
Timely filing limit varies among different insurance companies and also timely filing limit is varies upon participating provider and non-participating provider
Example:
Humana Medicare Advantage timely filing limit is 1 year from the date the service provided and an appeal should be submitted within 60 days of the adverse benefit determination.
For Humana Commercial claims must be submitted within 90 days from the date the service provided.
Humana CareSource timely filing limit is 365 days from the date of service. Also, to submit a corrected claim or to appeal a claim: Providers have 365 days form the date service rendered. For Humana Military, claims must be submitted not later than 1 year from the date of service.