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Timely Filing

Timely Filing. What exactly does this mean?. Timely Filing. Each payor has their own individual timely filing deadline. This means that within a certain time span from the date of service , a claim must be filed in order to receive payment. Timely Filing.

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Timely Filing

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  1. Timely Filing What exactly does this mean?

  2. Timely Filing • Each payor has their own individual timely filing deadline. • This means that within a certain time span from the date of service, a claim must be filed in order to receive payment.

  3. Timely Filing • What do the time spans look like? Time spans vary based upon each payor. The following are examples from 2007 and are subject to change during renegotiation. • TennCare payors - 120 days from date of service • BCBST – 180 days from date of service • Cigna - 180 days from date of service • Medicare 1 year + 3mos from date of service • Health Spring PPO 90 days from date of service • United – 180 days from date of service

  4. Timely Filing • What does this mean to me? • Please review the monthly D&H billing as soon as possible because we must meet the timely filing deadlines to the individual payors in order to reroute charges. • Please route patient billing questions to the Department of Finance, Clinical Trials Billing Compliance as soon as you are aware of them.

  5. Resources • Patient Accounting-technical billing • Nancy Stanley 936-0894 • VMG Professional Billing • Lee Ann Buck 936-0515 • Dept. Of Finance-Clinical Trials Billing Compliance • DOF-main number 322-2381

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