![]() ![]() If previous notes states, appeal is already sent.If we have clearing house acknowledgement date, we can try and reprocess the claim over a call.If claim history states the claim was submitted to wrong insurance or submitted to the correct insurance but not received, appeal the claim with screen shots of submission as proof of timely filing(POTF) and copy of clearing house acknowledgement report can also be used.If the first submission was after the filing limit, adjust the balance as per client instructions. Review the application to find out the date of first submission.Whenever claim denied as CO 29-The time limit for filing has expired, then follow the below steps: If claims submitted after the timely frame set by insurances, then those claims will be denied by insurance companies as CO 29-The time limit for filing has expired. The registration form for EFT can also be found in Aetna Secure Member Website.Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims. And, you will receive reimbursement faster if you submit your claim in the Member Portal and also use Electronic Funds Transfer (EFT) for your claim reimbursement. The provider will bill us directly and we pay the provider for covered services.Īll of the information for your claim can be submitted via the Member Portal. If you have received care from a provider with whom we have a Direct Billing Arrangement, you should not have paid for anything except for any deductible or coinsurance you might owe. ![]()
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