Timely filing should not stop you from chasing that insurance claim payment. Although the filing limit period has passed, there are still opportunities to receive payment. Especially if a particular scenario has prevented you from submitting it within the filing period.
When timely filing is the reason for claim denial it is always prudent to appeal the claim. Even if the contract that you have with the insurance company says that no claims will be paid after 3 months, 6 months, or a year from the original filing, you can appeal that claim.
In fact, there are various scenarios where appeals should absolutely be sent. Most claims are now submitted electronically. Since no system is foolproof, some claims just slip through the cracks. Always keep your record of electronic submissions. If an insurance carrier is stating the filing limit has passed, but you have a record of timely submission, send an appeal with that proof. Most often, the claim will be paid.
Often, timely filing denials are from a secondary insurance plan because submission has been delayed while waiting for the primary EOB. Best practice is to submit the secondary claim without the primary EOB before the filing limit has expired. Sometimes that doesn’t happen. In those instances, still, bill the secondary claim. If it’s denied, send an appeal and explain that you were waiting for the primary EOB. Often, this will result in a payment.
Receiving payment is great but patients love the fact that you take the extra effort.
How many claims do you write off as uncollectible because the timely filing deadline has come and gone?
eAssist has the answer to this dilemma because our Success Consultants will appeal these claims and make every effort to resolve the problem. To learn more, schedule a consultation here.
