Timely Filing Limit (TFL) Sheet
AARP 15 months
Absolute Total Care 365 days
Aetna (Commercial) 120 days
Aetna Better Health Of NJ (Medicaid) 180 days
Aetna Better Health of CA (Medicaid) 180 days
Aetna Better Health of FL (Medicaid) 180 days
Aetna Better Health Of GA (Medicaid) 180 days
Aetna Better Health of IL (Medicaid) 180 days
Aetna Better Health of KY (Medicaid & Medicare) 365 days
Aetna Better Health of KY (Medicaid) 365 days
Aetna Better Health of OH (Medicaid) 365 days
Aetna Better Health of PA (Medicaid) 180 days
Aetna Better Health of WV (Medicaid) 365 days
Affinity Medical Group 90 days
AL Medicaid 365 days
Alameda Alliance for Health 180 days
Allwell from Superior Healthplan 95 days
Altrua Healthshare 180 days
Ambetter from Arkansas Health & Wellness 180 days
Ambetter from NH Healthy Families 180 days
Ambetter from Superior HealthPlan 95 days
Ambetter Of TN 90 days
Amerigroup IA (Medicaid) 180 days
Amerigroup Medicare Advantage (Non-Participating Provider) 365 days
Amerigroup Medicare Advantage (Participating Provider) 90 days
Amerigroup Of GA (Medicaid) 180 days
Amerigroup Of TX (Medicaid) 95 days
Amerigroup TN (Medicaid) 120 days
Amerigroup TX (Medicaid) 95 days
Amerigroup WA (Medicaid) 365 days
Anthem BCBS CA (Commercial & Medicare - Participating Provider) 90 days
Anthem BCBS CA (Non-Participating Provider) 180 days
Anthem BCBS GA (Professional Claims) 90 days
Anthem BCBS ME (Professional Claims) 90 days
Anthem BCBS MO (Professional Claims) 90 days
Anthem BCBS NV (Medicaid Managed Care - Non-Participating 365 days
Provider)
Anthem BCBS NV (Medicaid Managed Care - Participating Provider) 180 days
Anthem BCBS Of OH (Professional Claims) 90 days
Anthem BCBS VA (Professional claims - Commercial & 90 days
Medicare Advantage )
AR Medicaid 365 days
AZ Medicaid 180 days
Bankers Life 15 months
BCBS AL (Medicare Advantage) 15 Months
BCBS AR 180 days
BCBS DE 2 years
BCBS KS 15 months
BCBS LA 15 months
BCBS MA (HMO/POS/PPO/Medicare Advantage) 90 days
BCBS MA (Indemnity) 365 days
BCBS MI 365 days
BCBS MN 180 days
BCBS NC 18 months
BCBS ND 365 days
BCBS NE 120 days
BCBS NM 180 days
BCBS RI (Non-Participating Provider) 365 days
BCBS RI (Participating Provider - Commercial & Medicare) 180 days
BCBS RI (Participating Provider - Dental Services) 365 days
BCBS SC 180 days
BCBS TX (Medicaid) 95 days
BCBS VT 180 days
CGS Administrators, LLC 365 days
Cigna (Non Participating Provider) 180 days
Cigna (Participating Provider) 90 days
CO Medicaid 365 days
DC Medicaid 365 days
Emblemhealth (Non-Participating Provider - Commercial) 18 months
Emblemhealth (Non-Participating Provider - Medicaid) 15 months
Emblemhealth (Non-Participating Provider - Medicare) 365 days
Emblemhealth (Participating Provider) 120 days
Empire BCBS Of NY (Medicaid - Non-Participating Provider & 15 months
Facility)
Empire BCBS Of NY (Medicaid - Participating Provider & Facility) 90 days
Fidelis Care NY 90 days
First Coast Service Option Inc 365 days
FL Medicaid 365 days
GA Medicaid 6 months
GEHA 90 days
Geisinger Health Plan (GHP) 4 months
Health Alliance 90 days
Horizon BCBS NJ 180 days
IN Medicaid 180 days
KY Medicaid 365 days
LA Medicaid 365 days
MD Medicaid 365 days
Medicare FL 365 days
Metroplus NY (Medicaid & Medicare) 90 days
MI Medicaid 12 months
MN Medicaid 365 days
MS Medicaid 365 days
National Government Services (Ngs) Administers 365 days
NC Medicaid 365 days
Noridian Healthcare Solutions 365 days
Novitas Solutions 365 days
NV Medicaid (In-State Provider) 180 days
NV Medicaid (Out-Of-State Provider) 365 days
NY Medicaid 90 days
OH Medicaid 365 days
PA Health & Wellness 180 days
PA Medicaid 180 days
Palmetto Gba 365 days
Palmetto Railroad Medicare 365 days
PeachState Of GA (Medicaid) 6 months
RI Medicaid 365 days
Tricare 365 days
TX Medicaid 95 days
Unicare (Par, Non - Par & Facility) 180 days
United Healthcare Commercial (Professional Claims - Non-Par 180 days
Provider)
United Healthcare Commercial (Professional Claims - Par Provider) 90 days
UPMC Health Plan (Medicare & Commercial) 365 days
UPMC Health Plan (Medicaid) 180 days
UT Medicaid 365 days
VNS Health 90 days
Wellcare Of GA (Medicaid) 6 months
Wisconsin Physicians Service Insurance Corporation 365 days
WV Medicaid 365 days
Geisinger health plan TFL NEED TO ADD
ReplyDeleteThanks for your comment. It is added in the above list.
DeleteBro i need Appeal TFL Information for the insurance
DeleteSir kindly add corrected claim filing limit and appeal filing limit for payers .
Deletehi bro your posts are really helpful thanks for it and can you post any appeal process and TFL for appeal level one and level 2
ReplyDeleteYes, we are looking to add appeal TFL as well but that will take time.
DeleteCan u guys Please arrange Quiz's gane everyday for new scenario basis on home page i already saw some quiz but its very old now
ReplyDeleteNot possible for everyday but we post new quiz on weekly basis.
DeleteHello, Can you please mentioned that information? The TFL is for DOD or DOS?
ReplyDeleteTFL is always calculated from DOS. You can check TFL expired scenario for more details,
Deletehttps://www.arlearningonline.com/2019/11/29-time-limit-for-filing-has-expired.html
Thanks
DeleteNEED APPEAL TFL LIMIT FOR INSURANCE
ReplyDeleteHi Team,
ReplyDeletePlease help me with TFL for Unicare
It is added in the above list.
DeleteContigo Health TFL
ReplyDeleteYou guys did a great job I really appreciate it but can you please add TFL for Government Employees Health Association (GEHA) insurance
ReplyDeleteThanks for your comment. It is added in the above list.
Deletemedicaid MI TFL
ReplyDeleteIt is added to the above list.
Deletehi bro your posts are really helpful thanks for it and can you post any appeal process and TFL for appeal level one and level 2
ReplyDeleteYes, this is in our plan but it will take time. Please send us an email if you are looking for any urgent help.
DeleteUPMC MEDICARE and UPMC MEDICAID PLANS TFL?
ReplyDeleteIt is added to the above list.
DeleteHello Team, if possible can you please also add standard appeal formats that will help us more.
ReplyDeleteHi There Can you post CPN Live Well TFL for claims
ReplyDeleteCan you please share the mailing address of the insurance?
Deletecan you please share the Prom Plus Medicare HMO and prom choice plus Attributed tfl and appeal tfl
ReplyDeleteCan you please share the mailing address of these insurances?
DeleteFreedom life insurance company of America timely filing limit
ReplyDeleteHi Team Please Help me with Humana TFL for Corrected claim
ReplyDeleteTypically, insurance companies, including Humana, expect corrected claims to be submitted within a similar timeframe to the original claim, which is often within 90 to 180 days from the date of service or the date of the initial claim submission. However, it's important to note that the specific timely filing limit for corrected claims may be outlined in your provider contract or agreement with Humana.
DeleteThanks for your response!
DeleteCan you add TFL for Medicare NJ?
ReplyDeleteIt is 365 days for all original Medicare.
DeleteEXPRESS SCRIPT TFL
ReplyDeleteIt seems to be 90 or 365 days based on different states. It would be good to call the insurance and confirm.
DeletePlease add NJ Medicaid. Thanks.
ReplyDeleteAETNA Commerical TFL for intial claims
ReplyDeleteIt is added in the above list.
DeleteHow about Wellmed TFL for appeal?
ReplyDeletecan you please add CDPHP NY in your list
ReplyDeleteAmerihealth TFL ?
ReplyDeleteAmeriHealth TFL and Corrected claim TFL for AmeriHealth Medicaid plan and Medicare plan?
ReplyDeleteOSCAR (QUALCARE EXCHANGE) of NJ TFL
ReplyDeletecould you please add TFL for Aetna Better Health of Kansas (Medicaid)
ReplyDeletePlease add NJ Medicaid TFL.
ReplyDeletevery worst and not use full for freshers and kindly update.
ReplyDeleteWhat is the TFL of Devoted Health Insurance?
ReplyDelete