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    v1.0.30
    OpenPayerToolsTimely FilingWellpoint

    Wellpoint Timely Filing Policies

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

    Latest Wellpoint timely filing updates16

    • Timely FilingAdministrative/Operational PolicyEff. 2025-10-23Proof of Timely FilingThis policy governs when Wellpoint New Jersey Medicaid will reconsider reimbursement for claims rejected for failure to meet timely filing requirements. It applies to providers who can document timely receipt or demonstrate good cause for the late filing.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-10-23Proof of Timely FilingGoverns reconsideration of Medicare Advantage claims rejected for untimely filing, including acceptable proof of receipt and circumstances that may establish good cause.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-10-23Reimbursement Policy Proof of Timely FilingGoverns when Wellpoint Maryland may reconsider Medicaid claims rejected for untimely filing, including acceptable receipt documentation, good-cause exceptions, and claim-log requirements.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-10-23Reimbursement Policy Proof of Timely FilingThis policy governs when Wellpoint Tennessee Medicaid may reconsider claims rejected for failure to meet timely filing requirements when providers document timely receipt and establish good cause.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-23Reimbursement Policy Proof of Timely FilingThis policy governs when Wellpoint Iowa may reconsider claims rejected for failure to meet timely filing requirements and what documentation or good-cause evidence providers must submit. It applies to providers serving Iowa Health Link and Hawki members in Iowa.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-10-23Reimbursement Policy: Proof of Timely FilingThis reimbursement policy governs when Wellpoint Washington Medicaid may reconsider a claim rejected for failure to meet timely filing requirements. It applies to providers submitting claims and requires evidence of timely receipt and, where applicable, documentation establishing good cause for the delay.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-06Corrected ClaimsWellpoint New Jersey Medicaid reimbursement requirements for corrected claims submitted by participating and nonparticipating providers and facilities.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-06Reimbursement Policy Corrected ClaimsGuidelines for reimbursement of corrected claims, including timely filing, frequency-code, documentation, and separate-submission requirements for participating and nonparticipating providers and facilities in Iowa.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-06Reimbursement Policy Corrected ClaimsThis policy governs when Wellpoint Maryland Medicaid reimburses corrected claims and the filing, submission, and documentation requirements for participating and nonparticipating providers and facilities.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-10-06Reimbursement Policy: Corrected ClaimsThis policy governs Wellpoint Tennessee Medicaid reimbursement for corrected claims submitted by participating and nonparticipating providers and facilities. It establishes timely filing, submission-format, and documentation requirements for replacement or voided claims.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-06-03Claims Timely FilingThis policy governs when Wellpoint Maryland Medicaid will consider reimbursement for initial claims and how timely filing limits are calculated for participating and nonparticipating providers and facilities, subject to applicable requirements.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-06-03Claims Timely FilingThis policy governs when Wellpoint Washington Medicaid will consider reimbursement for initial claims based on timely receipt and acceptance. It applies to participating and nonparticipating providers and facilities, subject to applicable provider, state, federal, CMS, or contractual requirements.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2025-06-03Reimbursement Policy Claims Timely FilingThis policy governs when Wellpoint Medicare Advantage claims must be received and accepted to qualify for reimbursement, including different limits for participating and nonparticipating providers and facilities in applicable Wellpoint states.All wellpoint updates
    • Timely FilingReimbursement/Payment PolicyEff. 2025-06-03Reimbursement Policy Claims Timely FilingThis policy governs when Wellpoint New Jersey Medicaid will consider reimbursement for initial claims based on timely receipt and acceptance. It applies to participating and nonparticipating providers and facilities, subject to applicable provider, state, federal, CMS, and contractual requirements.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2022-12-27Claims Timely FilingApplies to participating and nonparticipating providers and facilities submitting initial claims to Wellpoint Tennessee Medicaid.All wellpoint updates
    • Timely FilingAdministrative/Operational PolicyEff. 2021-11-19Proof of Timely FilingThis policy governs when Wellpoint will reconsider a claim denied for failure to meet timely filing requirements and what documentation providers must submit to prove timely receipt or establish Good Cause. It applies to provider claim submissions unless provider, state, federal, or CMS requirements indicate otherwise.All wellpoint updates
    1–16 of 16
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    Tool Description

    Find Wellpoint 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 Wellpoint 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 - Nevada62025-10-23
    Blue Cross Blue Shield - North Carolina52025-10-23
    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
    Caresourcegeorgia12025-03-01
    Cencalhealth12023-07-01
    ConnectiCare22023-01-01
    Delaware Department Of Insurance12020-04-09
    DHA3—
    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
    Indiana Department Of Insurance1—
    Mississippi Division Of Medicaid72024-07-01
    Molina Healthcare32023-09-01
    Neighborhood Health Plan Of Rhode Island2—
    New Mexico Health Care Authority32017-10-01
    North Carolina Department Of Insurance22018-09-19
    Office Of The Montana State Auditor, Commissioner Of Securities And Insurance12026-07-25
    Optum12023-11-01
    Peach State Health Plan12008-07-01
    Priority Health1—
    Simplyhealthcare42025-10-23
    South Carolina Department Of Insurance12020-04-24
    Texas Department Of Insurance1—
    Wellpoint162025-10-23
    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.

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