Timely Filing of Claims. You must submit your claims within 95 days of the date of service. For a claim for which coordination of benefits applies, the 95-day period does not begin for submission of the claim to the secondary payer until you receive notice of the payment or denial from the primary payer. If your claim is not submitted within this time frame, you will not be reimbursed for the services—and you may not charge your patient for them. If your failure to timely submit the claim is the result of an information systems failure or catastrophic event that substantially interferes with your normal business operations for more than two consecutive business days and about which you notify the Texas Department of Insurance as required by 28 Tex. Admin. Code §21.2819, we will extend the 95 day filing deadline by the number of days in which your business was unable to operate. In the event that you seek and receive a waiver from our electronic filing requirements under 28 Tex. Admin. Code § 21.3701, you may submit non-electronic claims to the address shown in the Administrative Guide.
Timely Filing of Claims. Provider must submit its claims within 95 days of the date of service. For a claim submitted by an institutional provider; the 95-day period does not begin until the date of discharge. For a claim for which coordination of benefits applies, the 95-day period does not begin for submission of the claim to the secondary payer until Provider receives notice of the payment or denial from the primary payer. If Provider’s claim is not submitted within this time frame, Provider will not be reimbursed for the services and Provider may not charge its patient for therm. If Provider’s failure to timely submit the claim is the result of an information systems failure or a catastrophic event that substantially interferes with Provider’s normal business operations for more than two consecutive business days and about which Provider notifies the Texas Department of Insurance as required by 28 Tex. Admin. Code §21.2819, United will extend the 95 day filing deadline by the number of days in which Provider’s business was unable to operate. In the event that Provider seeks and receives a waiver from United’s electronic filing requirements under 28 Tex. Admin. Code § 21.3701, Provider may submit non-electronic claims to the address shown in the Administrative Guide.
Timely Filing of Claims. (a) Provider shall submit Clean Claims to CMHSP within sixty (60) days of the date Covered Services were rendered, and for series billing, within sixty (60) days from the end date of service. If CMHSP is not the primary payor, and Provider is pursuing payment from the primary payor, Provider shall submit claims within ninety (90) days from the date of the remittance advice. In no event, regardless of the cause or circumstance, shall Covered Person be responsible or liable for any Claim submitted by Provider to CMHSP after the expiration of the filing deadlines set forth in this Section.
Timely Filing of Claims. As used in this Agreement, “Claim” means an actual or potential action, loss, claim, dispute, controversy, damage, demand, liability, garnishment, lien, levy or other order, cost or expense, including Special Damages (as defined in Section 31 above), attorney fees and dispute resolution costs. You must file a Claim in connection with the Service with a tribunal or court of competent jurisdiction within two years of the event that gave rise to the Claim. Failure to do so will mean you have waived that Claim against us.
Timely Filing of Claims. This ICF-IID facility provider agrees that all claims must be received by the Financial & Information Services of the Kansas Department for Aging and Disability Services’ fiscal agent within six (6) months from the date the service was provided and that claims which are originally received within six
Timely Filing of Claims. This nursing facility provider agrees that all claims must be received by the Financial & Information Services of the Kansas Department for Aging and Disability Services’ fiscal agent within six (6) months from the date the service was provided and that claims which are originally received within six (6) months from the date of service but are not received before the six (6) month limitation expires, may be corrected and resubmitted up to twelve (12) months from the date of service.
Timely Filing of Claims. The provider agrees that all claims must be received by the KMAP fiscal agent within twelve (12) months from the date the service was provided and that claims which are originally received within twelve (12) months from the date of service but are not resolved before the twelve (12) month limitation expires, may be corrected and resubmitted up to twenty-four (24) months from the date of service.
Timely Filing of Claims
