The following table outlines each payers time limit to submit claims and corrected claims. If claims are submitted after this time frame, they will most likely be denied due to timely filing and thus, not paid.
|
Payer |
Time limit to submit new claims |
Time limit to submit corrected claims |
|
Amida Care |
90 days from date of service |
No time limit |
|
CDPHP |
120 days from date of service |
180 days from date of service |
|
Emblem |
120 days from date of service |
60 days from date of remittance response |
|
eMedNY |
1 year from date of service (electronically) |
1 year from date of service (electronically) |
|
Empire BlueCross BlueShield Healthplus |
90 days from date of service |
45 days from date of remittance response |
|
Fidelis Care |
90 days from date of service |
60 days from date of remittance response |
|
Healthfirst |
180 days from date of service |
180 days from date of original claim submission |
|
MetroPlus |
90 days from date of service |
N/A at this time |
|
Molina |
180 days from date of service* *excluding CCF HH: 90 days from date of service |
2 years from date of service |
|
MVP |
180 days from date of service |
45 days from date of remittance response |
|
United |
120 days from date of service | 65 days from date of denial |
|
VNS Choice |
90 days from date of service |
60 days from date of denial |