The time limit for filing has expired
If you submit the claim after the time frame allowed by insurance then the claim submission is considered as passed timely filing.
Importantly, As per the payor protocol insurance only covers and processes the claim that was submitted within the time frame.
Example for Passed timely filing
Let us consider the time frame is 180 days from the date of service. Typically six months
The claims data of service is 01/01/2021.
Can you guess? what is the last date to submit the claim?
Answer
The last date to submit the claim is 06/30/2021. Post this date whatever may be the claim it will definitely deny as passed timely filing or The time limit for filing has expired.
Checklist for passed timely filing
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What is Proof of filing? and how we can appeal the claim for passed timely filing scenario
Let us discuss the proof of filing scenario. we will go through a small example now. Consider the date of service 01/01/2021 and the Timely filing Limit for the insurance company is 180 days from the date of service.
You have submitted a claim on 02/02/2021(Within a time frame). Post which claims were denied for some coding-related issue and claim was corrected and resubmitted with correction after the Timely filing limit.
In this case, insurance will deny the claim as passed timely filing. But, here is the important thing that should be noticed.
The initial claim was submitted within the time frame on 02/02/2021 so this is the proof that says the claim was initially submitted within the time frame.
Using this proof of submission you can appeal the claim denied. Simple right !! Hope you understood!!
Don’t worry we will help you with the flow charts below so that you can understand more.
Questionnaire flow chart for CO29 -Passed timely filing
