Timely Filing Policies by Payer
Top payers by timely filing policies25
- Anthem31 timely filing policiesUpdated 2026-06-15Proof of Timely FilingEff. 2026-06-15Governs the documentation and criteria Anthem (California Medi-Cal managed care) uses to reconsider claims denied for late filing and describes acceptable proof and 'Good Cause' criteria for providers seeking reimbursement reconsideration.All Anthem policy updates
- Mississippi Division Of Medicaid7 timely filing policiesUpdated 2024-07-01Rule 1.6: Timely Filing for Recouped ClaimsEff. 2020-12-01Establishes timely filing requirements for providers to submit claims to the Division of Medicaid for claims recouped by Coordinated Care Organizations (CCOs), including 365-day and 90-day deadlines when beneficiaries move from CCO enrollment to fee-for-service; affects providers submitting such recouped claims to Mississippi Medicaid.All Mississippi Division Of Medicaid policy updates
- Blue Cross Blue Shield - Maine6 timely filing policiesUpdated 2025-10-23Proof of Timely Filing for ClaimsEff. 2025-10-23This reimbursement policy governs what documentation or circumstances Blue Cross Blue Shield - Maine will accept to reconsider claims denied for late filing; it applies to providers submitting claims to the plan.All Blue Cross Blue Shield - Maine policy updates
- Harvard Pilgrim Health Care5 timely filing policiesFiling Limit AppealsGoverns submission, documentation, and timelines for appeals of claims denied for untimely filing for Harvard Pilgrim members (excludes Choice/Choice Plus via Passport Connect). Affects providers submitting claim appeals.All Harvard Pilgrim Health Care policy updates
- Blue Cross Blue Shield - North Carolina4 timely filing policiesUpdated 2025-10-23Proof of Timely Filing for ClaimsEff. 2025-10-23This policy governs how Blue Cross and Blue Shield of North Carolina (including Healthy Blue Medicaid) will reconsider claims denied for late filing when providers can demonstrate timely receipt or establish Good Cause; it applies to providers submitting claims to Blue Cross NC.All Blue Cross Blue Shield - North Carolina policy updates
- Care_continuum4 timely filing policiesUpdated 2020-02-01Claim Submission PolicyEff. 2020-02-01Governs Network Health/Care Continuum requirements for clean claim submissions, clinical documentation requests, timely filing, corrected claims, and related provider responsibilities across all lines of business.All Care_continuum policy updates
- Amerigroup3 timely filing policiesUpdated 2025-10-23Reimbursement Policy Proof of Timely FilingEff. 2025-10-23Defines documentation and criteria Amerigroup will accept to reconsider claims denied for late submission and explains when 'good cause' for late filing may be established. Applies to providers submitting claims to Amerigroup (Georgia programs listed).All Amerigroup policy updates
- Blue Cross Blue Shield - Nevada3 timely filing policiesUpdated 2025-06-03Reimbursement Policy Claims Timely FilingEff. 2025-06-03Governs timely filing requirements for claims submitted to Blue Cross Blue Shield - Nevada (Anthem affiliate), specifying filing timeframes for participating and nonparticipating providers and conditions for exceptions.All Blue Cross Blue Shield - Nevada policy updates
- Blue Cross Blue Shield - Rhode Island3 timely filing policiesUpdated 2020-03-01Claim Timely Filing Inpatient Level of Care Appeals and ObservationEff. 2020-03-01Governs timeframes and submission requirements for providers to file observation-level claims when an inpatient level of care has been denied and all internal and external appeals are exhausted for BCBSRI members.All Blue Cross Blue Shield - Rhode Island policy updates
- New Mexico Health Care Authority3 timely filing policiesUpdated 2017-10-01Billing for Medicaid Services (Part 2) — Provider Enrollment, Billing, Filing Limits, and Payment RulesEff. 2017-10-01Rules governing provider enrollment, billing, filing limits, payments (EFT), co-payments, billing responsibilities, and billing for dual-eligible recipients under the New Mexico Medical Assistance Programs (MAD). Applies to providers furnishing services to MAP eligible recipients and MCO members.All New Mexico Health Care Authority policy updates
- Alabama Department Of Insurance2 timely filing policiesUpdated 2020-01-01Implementation of FORTIFIED Roof™ Endorsement LawEff. 2020-01-01Governs insurers writing single-family owner-occupied homeowners insurance in Alabama and requires offering a FORTIFIED Roof™ endorsement to upgrade non-FORTIFIED homes when roofing replacement follows a covered loss; includes timing and filing deadlines for endorsement rates and forms.All Alabama Department Of Insurance policy updates
- Alaska Medicaid2 timely filing policiesTimely filing, adjustments, and appeals for Alaska Medicaid claimsGoverns deadlines and procedures for submitting claims, adjustments, and provider appeals to Alaska Medicaid; applies to all Alaska Medicaid providers submitting claims or appeals to the Department of Health.All Alaska Medicaid policy updates
- Blue Cross Blue Shield - Wisconsin2 timely filing policiesUpdated 2021-11-19Proof of Timely Filing (Reimbursement Policy)Eff. 2021-11-19Governs reconsideration of claims denied for failure to meet timely filing requirements and outlines what constitutes proof of timely receipt and what may demonstrate Good Cause; applies to providers submitting claims to Anthem Blue Cross and Blue Shield/Anthem Medicare Advantage (including Blue Cross Blue Shield - Wisconsin plans administered by Anthem as noted).All Blue Cross Blue Shield - Wisconsin policy updates
- Highmark Blue Cross Blue Shield Wny2 timely filing policiesUpdated 2025-10-23Reimbursement Policy Proof of Timely FilingEff. 2025-10-23This reimbursement policy governs the evidence and criteria Highmark BCBS WNY requires to reconsider claims denied for failure to meet timely filing requirements for applicable member programs (EP program noted). It affects providers submitting claims to Highmark BCBS WNY.All Highmark Blue Cross Blue Shield Wny policy updates
- Molina Healthcare2 timely filing policiesUpdated 2023-09-01Reimbursement Policy for Corrected ClaimsEff. 2023-09-01Governs submission, coding, and timing rules for corrected (adjustment/replacement/void) claims to Molina Healthcare; applies to providers submitting claims to Molina plans.All Molina Healthcare policy updates
- Neighborhood Health Plan Of Rhode Island2 timely filing policiesCoordination of Benefits (COB)Governs how Neighborhood Health Plan of Rhode Island determines primary versus secondary payers and claim submission/filing rules for members covered by more than one health plan; applies to Medicaid (excluding EFP), Commercial, and Dual/Integrated D‑SNP lines of business.All Neighborhood Health Plan Of Rhode Island policy updates
- North Carolina Department Of Insurance2 timely filing policiesUpdated 2018-09-19Reporting Requirements pursuant to North Carolina General Statutes, Part 7, Article 10, Chapter 58 ('Annual Financial Reporting Law')Eff. 2018-09-19Bulletin outlining reporting, filing deadlines, and submission requirements under North Carolina's Annual Financial Reporting Law (GS §58-10) for licensed domestic insurers and certain self-insurers; affects all insurers as defined in GS §58-10-190(8).All North Carolina Department Of Insurance policy updates
- Healthfirstofnewyork2 timely filing policiesUpdated 2024-05-01After Hours and Weekend CareEff. 2024-05-01Governs Healthfirst reimbursement stance for CPT after-hours/weekend service codes 99050 and 99051 across multiple Healthfirst lines of business; affects participating providers submitting claims for these services.All Healthfirstofnewyork policy updates
- Blue Cross Blue Shield - Oklahoma1 timely filing policiesUpdated 2025-01-02Corrected Claim SubmissionsEff. 2025-01-02Defines when and how providers should submit corrected (replacement/void) claims to Blue Cross Blue Shield of Oklahoma, documentation requirements, acceptable reasons for corrections, and electronic and paper submission procedures. Affects all participating providers submitting claims to the plan.All Blue Cross Blue Shield - Oklahoma policy updates
- Blue Cross Blue Shield - Texas1 timely filing policiesUpdated 2025-01-08Corrected Claim SubmissionsEff. 2025-01-08Rules and procedures for submitting corrected (replacement/void) claims to Blue Cross and Blue Shield of Texas, including acceptable reasons, required documentation, electronic and paper submission instructions, and frequency code usage; applies to contracted providers submitting claims for covered members.All Blue Cross Blue Shield - Texas policy updates
- Delaware Department Of Insurance1 timely filing policiesUpdated 2020-04-09Compliance with Regulatory Filing Requirements During the COVID-19 (Coronavirus) CrisisEff. 2020-04-09Guidance allowing domestic and foreign insurers transacting in Delaware to request 30- or 60-day extensions for specified regulatory filing deadlines during the COVID-19 public health emergency; applies to insurers subject to Delaware Department of Insurance oversight.All Delaware Department Of Insurance policy updates
- Empire Bluecross1 timely filing policiesUpdated 2021-07-23Corrected ClaimsEff. 2021-07-23Governs reimbursement and filing requirements for corrected claims submitted to Anthem Medicare Advantage (Empire Bluecross) for covered services; applies to participating and non-participating providers submitting corrected claims for members.All Empire Bluecross policy updates
- Humana1 timely filing policiesUpdated 2026-06-01Same-Claim Billing StandardsEff. 2026-06-01Governs Humana's requirements and prohibitions for submitting multiple services on the same claim for Medicare Advantage and Medicaid products; applies to both reimbursable claims and non-reimbursable encounter reporting and affects contracted providers submitting claims to Humana.All Humana policy updates
- Optum1 timely filing policiesUpdated 2023-11-01Behavioral Health: Telehealth, Claims and Related Policy Adjustments Following End of the COVID-19 Public Health EmergencyEff. 2023-11-01Describes how Optum Behavioral Health adjusted telehealth, claims timely filing, HIPAA enforcement discretion, controlled substance prescribing, and certain state-specific provisions following the end of the COVID-19 public health emergency; applies to providers in network and varies by plan type and state.All Optum policy updates
- Peach State Health Plan1 timely filing policiesUpdated 2008-07-01Claims Submission Time Frames (House Bill 1234 Resource Guide)Eff. 2008-07-01Governance of claims timely filing, resubmission/adjustment, appeals, outlier consideration, emergency and newborn payment responsibility, transition of care and related provider requirements for Peach State Health Plan; applies to providers submitting claims for dates of service on or after July 1, 2008.All Peach State Health Plan policy updates
Top 25 payers · 97 policies
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Tool Description
Find payer timely filing policies: claim submission deadlines, corrected claim windows, and appeal timeframes.
Search a payer name (“Anthem,” “Amerigroup”) or a phrase (“filing limit” or “claim submission”), or open a payer's page for every filing policy on file.
Each result links the full policy page, which carries the specific deadlines in context along with the source document and effective dates.
Pair a filing search with the live policy updates feed for the newest payer publications, the prior authorization lookup for approval requirements, and payer profiles for contacts and coverage context.
FAQ
A timely filing limit is the deadline a payer sets for submitting a claim after the date of service. Limits vary by payer and contract, commonly ranging from 90 days to one calendar year for initial claims. Claims submitted after the deadline are denied for timely filing, and payers publish the exact rules in their filing policies.
Timely Filing by Payer
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Filing deadlines vary by payer and change more often than you would think. See every payer policy update in the live policy feed, or browse the health insurance payer directory.
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