” In general, insurance carriers accept as proof reports generated from practice management systems because they cannot be altered. In other words, they will not accept a handwritten note stating, “We submitted the claim on. In any case, insurers require electronically generated reports. The report should show the initially incorrect information and the steps your medical biller took to correct the claim.Įven with paper-based claims, most practice management systems allow providers to generate a report with a timeline showing the original submission and subsequent filing dates for the claims in question. For example, produce a report for claims submitted and denied electronically. Your proof should clearly show the dates for initial and later submissions. Regardless, you should attach a copy of the claim and your proof of timely filing. Some carriers require special forms and others do not. Your biller fixes the claim, resubmits with the correct information, and the claim returns once again, this time denied for timely filing. Then the claim returns denied because of an incorrect ID#, the misspelling of a patient’s name, submission to the wrong insurer or some other vexing reason. Let’s say you send in a claim within the proper time frame. Work out a strategy for handling claim denials for timely filing and just follow your protocol every time you encounter this problem.
#PAST TIMELY FILING HOW TO#
However, you need to know how to handle these claims effectively.
#PAST TIMELY FILING PLUS#
On the plus side, you can still get paid for your services denied for timely filing. A variety of factors can produce incorrect information on a claim, including a simple typo, the wrong insurance card presented by the patient at the point of care, or an incorrect transfer of patient information by the person in your office responsible for the medical billing and coding. In addition, initial mistakes on claims can cause enough of a delay that they also get denied for timely filing. How the biller responds to these denials remains important. For example, insurance carriers sometimes report not receiving claims, even following timely submission. Multiple factors can contribute to submissions that end up as claims denied for timely filing.
Learn about the pros and cons of in-house billing vs.
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