medicare timely filing limit for corrected claims

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If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". CPT is a trademark of the AMA. CMS DISCLAIMER. Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties. Filing a claim after you find out Medicare is primary is not a valid reason to waive the timely filing deadline. 1, 70. Check the status of a claim , Medicare Claims Processing Manual, Pub. This Agreement will terminate upon notice if you violate its terms. The ADA does not directly or indirectly practice medicine or dispense dental services. + | Example: A claim has a From date of 7/1/2015 and a Through date of 7/31/2015. On the UB-04 form, enter either 7 (corrected claim), 5 (late charges), or 8 (void or cancel a prior claim) as the third digit in Box 4 (Bill Type). When correcting or submitting late charges on 837 institutional claims, use bill type xx7, Replacement of Prior Claim. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Claims that Return to Provider (RTP) for correction that are resubmitted and adjustment claims (Type of Bill XX7) are also subject to the one calendar year timely filing limitation. To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. %PDF-1.5 In general, Medicare does not consider a situation where (a) Medicare processed a claim in accordance with the information on the claim form and consistent with the information in the Medicare's systems of records and; (b) a third party mistakenly paid primary when it alleges that Medicare should have been primary to constitute "good cause" to reopen. It's best to submit claims as soon as possible. %PDF-1.5 % endstream endobj 836 0 obj <. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. Attach the. - Paper Claims must be printed, using black ink. This license will terminate upon notice to you if you violate the terms of this license. 100-04, Ch. These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. However, the filing limit is extended another full year if the service was provided during the last three months of the calendar year. Important Notes for Providers The "Through" date on a claim is used to determine the timely filing date. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. These include: If you are not currently registered for the Cigna for Health Care Providers website, go to CignaforHCP.com and click on the Login/Register link. For more details, go to uhcprovider.com/ ediclaimtips > Corrected Claims. The scope of this license is determined by the ADA, the copyright holder. 909 0 obj <>stream 7500 Security Boulevard, Baltimore, MD 21244, Authorization to Disclose Personal Health Information (PDF), Find a Medicare Supplement Insurance (Medigap) policy. As of February 8, 2017, Blue Cross' claims processing systems for commercially-insured and BlueCard eligible out-of-state members' claims, now recognize the oldest date of service reported on a corrected claim as the beginning date for that corrected claim's 24-month (730-day) eligibility for reconsideration. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. Bookmark | Medicare crossover claims for coinsurance and/or deductible must be filed with DOM within 180 days of the Medicare Paid Date. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see SUBJECT: Changes to the Time Limits for Filing Medicare Fee-For-Service Claims I. 180 DAYS FROM DOD. 1. Details, Applicable law requires a longer filing period, Provider agreement specifically allows for additional time, In Coordination of Benefits situations, timely filing is determined from the processing date indicated on the primary carrier's explanation of benefits (EOB) or explanation of payment (EOP). Molina Healthcare of Virginia, LLC. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. File a claim Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). Receive Medicare's "Latest Updates" each week. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. This system is provided for Government authorized use only. Warning: you are accessing an information system that may be a U.S. Government information system. Timely Filing As a result of the Patient Protection and Affordable Care Act (PPACA), all claims for services furnished on/after January 1, 2010, must be filed with your Medicare Administrative Contractor (MAC) no later than one calendar year (12 months) from the date of service (DOS) or Medicare will deny the claim. The "Through" date on claims will be used to determine the timely filing date. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Electronic claims set up and payer ID information is available here. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Reimbursement Policies From time to time, Wellcare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. 100-04, Ch. A Medicare Advantage (MA) plan or Program of All-inclusive Care for the Elderly (PACE) provider organization recoups money from a provider or supplier 6 months or more after the service was furnished to a beneficiary who was retroactively disenrolled to or before the date of the furnished service. Retroactive Medicare entitlement to or before the date of the furnished service. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Note: The information obtained from this Noridian website application is as current as possible. License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. A claim that is rejected for being filed after the timely filing period is not subject to a formal appeal (i.e., redetermination). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. <> You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Corrected Facility Claims 1. Error or misrepresentation by an employee, Medicare contractor, or agent of the Department of Health and Human Services (HHS) that was performing Medicare functions and acting within the scope of its authority. Timely filing of claims End Users do not act for or on behalf of the CMS. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 842.04] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Retroactive Medicare entitlement to or before the date of the furnished service. THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. The scope of this license is determined by the AMA, the copyright holder. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). If a beneficiary indicates another insurer is primary over Medicare, bill the primary insurer prior to submitting a claim to Medicare. If claims submitted after the timely frame set by insurances, then those claims will be denied by insurance companies as CO 29-The time limit for filing has expired. The AMA is a third party beneficiary to this Agreement. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Before you can enter the Noridian Medicare site, please read and accept an agreement to abide by the copyright rules regarding the information you find within this site. For example, a claim with dates of service 9/15/2015, must be received by 9/15/2016 for processing. Find Medicare.gov on facebook (link opens in a new tab), Follow Medicare.gov on Twitter (link opens in a new tab), Find Medicare.gov on YouTube (link opens in a new tab), A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. The Medicare Advantage Policy Guidelines are applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. Reproduced with permission. If you have any questions, please contact Provider Support Services at contactproviderservices@summmacare.com or call 330.996.8400 or 800.996.8401. ), Last Updated Fri, 09 Dec 2022 18:08:24 +0000. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. Please. Providers may request an Administrative Review within thirty (30) calendar days of a denied IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ABOVE ON THE LINK LABELED "I Do Not Accept" AND EXIT FROM THIS COMPUTER SCREEN. After one year and prior to four years from the date of determination, "good cause" is required for Medicare to reopen the claim. Do not submit corrected or additional charges using bill type xx5, Late Charge Claim. You should only need to file a claim in very rare cases. 2. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. 424.44 and the CMS Medicare Claims Processing Manual, CMS Pub. If Medicare is the Secondary Payer (MSP), the initial claim must be submitted to the primary payer within Cigna's timely filing period. The Centers for Medicare & Medicaid Services have established the following exceptions to the one calendar year time limit: Note: The provider must demonstrate that they submitted the claim within six months after the month in which they were notified that the system error was corrected. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. @H3"@ R_ Reimbursement Policies The ADA is a third-party beneficiary to this Agreement. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. CDT is a trademark of the ADA. Use the Claims Timely Filing Calculator to determine the timely filing limit for your service. that insure or administer group HMO, dental HMO, and other products or services in your state). This license will terminate upon notice to you if you violate the terms of this license. End Users do not act for or on behalf of the CMS. To submit a corrected claim to Medicare make the correction and resubmit as a regular claim (Claim Type is Default) and Medicare will process it. Medicare (Cigna for Seniors): In accordance with Medicare processing rules, non-participating health care providers have 15 to 27 months to file a new claim. Inpatient hospital claims (including all interim bills) within 95 days from the date of discharge. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Applications are available at the AMA website. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. If you do not agree to the terms and conditions, you may not access or use the software. To expedite billing and claims processing, claims must be sent to Kaiser Permanente within 30 days of providing the service. If a claim isn't filed within this time limit, Medicare can't pay its share. MSP and tertiary payer situations do not change or extend Medicare's timely filing requirements. Providers have 90 days from original claim's processing date to appeal and 365 days from original claim's processing date to submit a corrected claim. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. CPT is a trademark of the AMA. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. endstream endobj 4975 0 obj <. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. When correcting or submitting late charges on a 1500 professional claim, use the following frequency code in Box 22 and use left justified to enter the code. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. 1 Cigna may request appropriate evidence of extraordinary circumstances that prevented timely submission (e.g., natural disaster). In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Providers may submit a corrected claim within 180 days of the Medicare paid date. CMS DISCLAIMER. UnitedHealthcare has developed Medicare Advantage Policy Guidelines to assist us in administering health benefits. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 5066 0 obj <>stream End Users do not act for or on behalf of the CMS. The ADA does not directly or indirectly practice medicine or dispense dental services. Applications are available at the AMA website. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. All rights reserved. New Jersey (NJ) All providers treating fully-insured NJ contracted members and submitting their dispute using the "Health Care Provider Application to Appeal a Claims Determination Form" will be eligible for review by New Jersey's Program for Independent Claims Payment . IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. Medica Timely Filing and Late Claims Policy. Medicare Claims Processing Manual Chapter 34 - Reopening and Revision of Claim . endobj We accept claims from out-of-state providers by mail or electronically. Medicare (Cigna for Seniors): In accordance with Medicare processing rules, non-participating health care providers have 15 to 27 months to file a new claim. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. 2 0 obj Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. This Agreement will terminate upon notice if you violate its terms. Error or misrepresentation by an employee, Medicare contractor, or agent of the Department of Health and Human Services (HHS) that was performing Medicare functions and acting within the scope of its authority. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. In addition, claims that have Returned to Provider (RTP'd) for corrections and resubmitted, are also subject to timely filing standards. Box 232, Grand Rapids, MI 49501. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The ADA is a third-party beneficiary to this Agreement. CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. . Email us at All Rights Reserved (or such other date of publication of CPT). The scope of this license is determined by the AMA, the copyright holder. See filing guidelines by health plan. Font Size: Navigation. Exceptions to the 1 calendar year time limit for filing Medicare home health and hospice billing transactions are as follows: Refer to the Medicare Claims Processing Manual, CMS Pub. endobj All Rights Reserved (or such other date of publication of CPT). This license will terminate upon notice to you if you violate the terms of this license. (For services furnished during October December of a year, the time limit may be extended no later than the end of the fourth year after that year. LICENSE FOR USE OF "PHYSICIANS' CURRENT PROCEDURAL TERMINOLOGY", (CPT) The scope of this license is determined by the ADA, the copyright holder. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. The AMA is a third party beneficiary to this Agreement. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Bookmark | Remember: Your contract with Cigna prohibits balance billing your patient if claims are denied because they were not submitted within the time frame outlined above. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Bookmark | You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. If a claim was timely filed originally, but Cigna requested additional information. Applications are available at the American Dental Association web site, http://www.ADA.org. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). License to use CDT-4 for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Submit a new CMS 1500 or UB-04 CMS-1450 indicating the correction made. This website is not intended for residents of New Mexico. + | 0 End Users do not act for or on behalf of the CMS. Per Medicare Learning Network (MLN) Matters article, Notices of Election (NOEs)are not subject to the timely filing requirements indicated in. The "Through" date on a claim is used to determine the timely filing date. If services are rendered on consecutive days, such as for a hospital confinement, the limit will be counted from the last date of service. Payers Timely Filing Rules 1 year ago Updated The following table outlines each payers time limit to submit claims and corrected claims. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. BeechStreet. No fee schedules, basic unit, relative values or related listings are included in CPT. The Medicare regulations at 42 C.F.R. FOURTH EDITION. Therefore, you have no reasonable expectation of privacy. Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). By continuing beyond this notice, users consent to being monitored, recorded, and audited by company personnel. . Timely Filing of Claims. The AMA does not directly or indirectly practice medicine or dispense medical services. 100-04, Ch. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. 1 0 obj Enter the original claim number in Box 64 (Document Control Number) Corrected Professional Claims 1. The scope of this license is determined by the ADA, the copyright holder. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. x[mo6nARiN.q[ XHDJ 3g(:x1go_|=>PAVa`a# vC?,y&EKGS[jpqyrea$4WZ`&yiHFYEp}|13oyp9>QS.z/R,}#+Y.e[15R#1+,E!`hD$a!K;qQX1#fSIBR_0J)XKrMqI'x 3oftQ,YXc&X=D7\Ru,"{E. The use of the information system establishes user's consent to any and all monitoring and recording of their activities. Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. No fee schedules, basic unit, relative values or related listings are included in CDT-4. hbbd``b`n3A+P L6 BD W| b``%0 " ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Dispute & Claim Adjustment Requests. 3 0 obj LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT"). 1, 70 specify the time limits for filing Part A and Part B fee-for- service claims. As a result of the Patient Protection and Affordable Care Act (PPACA), all claims for services furnished on/after January 1, 2010, must be filed with your Medicare Administrative Contractor (MAC) no later than one calendar year (12 months) from the date of service (DOS) or Medicare will deny the claim. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. See the CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 1, Section 70. No fee schedules, basic unit, relative values or related listings are included in CDT-4. Back to Top Adhering to this recommendation will help increase providers offices' cash flow. does not extend the time frame for filing an appeal. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. 240 - Time Limits for Filing Appeals & Good Cause for Extension of the Time Limit for Filing Appeals 240.1 - Good Cause 240.2 - Conditions and Examples That May Establish Good Cause for Late Filing by Beneficiaries . 1, 70, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. CLAIM TIMELY FILING POLICIES To ensure your claims are processed in a timely manner, please adhere to the following policies: INITIAL CLAIM - must be received at Cigna-HealthSpring within 120 days from the date of service. The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. hbbd``b`S$$X fm$q="AsX.`T301 If you do not agree to the terms and conditions, you may not access or use the software. This includes resubmitting corrected claims that were unprocessable. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose.

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