Timely Filing Denial

A timely filing denial is generated when a claim not submitted within insurance guideline?

• TRUE

• FALSE

What are the steps which we need to follow to identify denial reason if EOB is not present on Host/R1Hub?

• Check insurance website

• Call insurance for denial reason

• Both A & B

• Non workable as no eob available

Each insurance company or plan may have a different timely filling limit

• TRUE

• FALSE

If claim was billed within timely filing limit, then we can submit proof of timely filing to reprocess the claim

• TRUE

• FALSE

What if claim was submitted after timely filing limit passed?

• Write off balance

• Rebill the claim again

• Send appeal

• None of the Above

If claim was submitted with in timely filing limit & insurance denial the claim incorrectly then what would be the next step?

• Bill to Patient

• Check if found secondary then bill to secondary

• Write off the claim

• Call and ask the insurance company to reprocess the claim.

It is Patient’s responsibility to submit the claim within timely filing limit?

• TRUE

• FALSE

We need to adjust/write off the balance based on untimely filing if the root cause denial is of Non-covered

• True

• False

Timely filing limit is calculated from the date of Service? 

• TRUE

• FALSE

If claim was denied for Timely filing limit then we can bill the amount to patient?

• TRUE

• FALSE