If the claim was denied electronically you may even have that electronic denial, so that you can show what information was incorrect and that the claim was corrected and resubmitted. If the claim was submitted electronically then you can print an electronic report showing the original submission. The proof needs to be something that shows when the claim was originally submitted or when and how many times it was resubmitted. Whether you are using their form, or making your own, you should attach a copy of the claim, and your proof of timely filing to that form. Some carriers have special forms you must use, others don’t. Now, you have fixed the problem and resubmitted it with the correct info, but the carrier denies it for timely filing. It is best to work out a system for handling claim denials for timely filing and just follow that system every time you encounter this problem.įor example, you may have submitted a claim in the proper time frame and it was denied for a reason such as incorrect ID#, patient’s name was misspelled, or it was originally sent to the wrong insurance carrier.
#Uhc timely filing how to
Lots of things can go wrong.Īt any rate, it doesn’t necessarily mean you won’t get paid for the services denied for timely filing, but you do need to know how to handle them. It may be a variety of things such as a typo on the part of the biller, it may be that the patient offered the wrong insurance card at the medical office, or it may be that when the information was transferred from the person who took the info to the person who is doing the medical billing and coding it wasn’t copied correctly. One reason for a denial is when a claim is initially submitted with incorrect information. Other times, claims are denied for timely filing when they were not filed within the timely filing period due to initial mistakes. There are many reasons this can happen, but the important part of the equation is how the biller responds to the denial. Click here.Ĭlaims are often denied for timely filing when the claim was actually submitted in a timely fashion but not received by the insurance carrier.
Learn about the pros and cons of in-house billing vs.
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