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    v1.0.28
    OpenPayerToolsTimely FilingWellsense_health_plan

    Wellsense_health_plan Timely Filing Policies

    • Wellsense_health_plan prior authorization
    • Wellsense_health_plan contact directory
    • All Wellsense_health_plan policy updates

    Latest Wellsense_health_plan timely filing updates1

    • Timely FilingAdministrative/Operational PolicyEff. 2021-03-01Provider Administrative Claim AppealsGoverns the process providers must follow to submit written administrative claim appeals to WellSense Health Plan to dispute denials or insufficient payments for administrative reasons; affects contracted and non-contracted providers serving impacted products listed.All wellsense_health_plan updates
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    Tool Description

    Find Wellsense_health_plan 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 Wellsense_health_plan 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.

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    • 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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