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    v1.0.28
    OpenPayerToolsTimely FilingCare_continuum

    Care_continuum Timely Filing Policies

    • Care_continuum prior authorization
    • Care_continuum coverage criteria
    • All Care_continuum policy updates

    Latest Care_continuum timely filing updates4

    • Timely FilingAdministrative/Operational PolicyEff. 2020-02-01Claim Submission PolicyGoverns 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 updates
    • Timely FilingAdministrative/Operational PolicyEff. 2020-02-01Claim Submission PolicyGoverns Network Health (Care Continuum) requirements for clean claim submissions, necessary clinical documentation, timely filing limits, corrected claim procedures, and related billing elements for all lines of business and providers.All care_continuum updates
    • Timely FilingAdministrative/Operational PolicyEff. 2020-02-01Claim Submission PolicyDefines Network Health/Care Continuum requirements for clean claim submissions, corrected claims, clinical documentation requests, and timely filing for providers submitting institutional and professional claims.All care_continuum updates
    • Timely FilingReimbursement/Payment PolicyEff. 2011-04-01Coordination of BenefitsThis reimbursement policy governs how Network Health (Care Continuum) determines the order of payment and processes claims when a member has coverage under more than one plan; it applies to all lines of business and affects members, providers, and payers interacting with Network Health.All care_continuum updates
    1–4 of 4
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    Tool Description

    Find Care_continuum 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.

    Tool Description

    Find Care_continuum 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

    Alabama Department Of Insurance22020-01-01
    Alaska Medicaid2—
    Amerigroup32025-10-23
    Anthem312026-06-15
    Blue Cross Blue Shield - Maine62025-10-23
    Blue Cross Blue Shield - Nevada32025-06-03
    Blue Cross Blue Shield - North Carolina42025-10-23
    Blue Cross Blue Shield - Oklahoma12025-01-02
    Blue Cross Blue Shield - Rhode Island32020-03-01
    Blue Cross Blue Shield - Texas12025-01-08
    Blue Cross Blue Shield - Wisconsin22021-11-19
    Care_continuum42020-02-01
    Delaware Department Of Insurance12020-04-09
    Empire Bluecross12021-07-23
    Fallon_community_health_plan_inc1—
    Harvard Pilgrim Health Care5—
    Healthfirstofnewyork22024-05-01
    Highmark Blue Cross Blue Shield Wny22025-10-23
    Humana12026-06-01
    Mississippi Division Of Medicaid72024-07-01
    Molina Healthcare22023-09-01
    Neighborhood Health Plan Of Rhode Island2—
    New Mexico Health Care Authority32017-10-01
    North Carolina Department Of Insurance22018-09-19
    Optum12023-11-01
    Peach State Health Plan12008-07-01
    Priority Health1—
    South Carolina Department Of Insurance12020-04-24
    Wellsense_health_plan12021-03-01
    West Virginia Bureau For Medical Services (Department Of Human Services)12024-10-01

    Go deeper

    Explore OpenPayer Data

    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.

    Toolbox

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    • Billing Code Reimbursement RatesBuild a reimbursement rate report across any mix of billing codes and states, comparing commercial payers against Medicare.
    • Payer Comparison DashboardPick 2-5 payers to compare market share, premium, and membership by region, all at once.
    • Facility Comparison DashboardPick 2-6 hospital facility types (or add a specific hospital) to compare facility count, revenue, net income, and Medicare/Medicaid payer mix by region, all at once.
    • Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
    • Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
    • Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
    • CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
    • Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
    • Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
    • Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.
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