This means that you have to write off the claim as denied for timely filing. You may not bill the patient for this balance." Usually the entire claim will be completely denied, with a reason stating something like: "This claim has been received past the timely filing deadline. This means that even though you sent them to the right place and within the right time frame, they are lost in your electronic system and you never get a response from the insurance company.īy the time you have noticed and resent the claim, it was past the timely filing deadline, and your claim was denied for timely filing. Unfortunately, however, some claims simply get lost. Lets say that you have sent a batch of claims, checked them at the clearinghouse, and they have all gone out correctly. The clearinghouse reports as well as your internal claims reports can both be sent as proof of timely filing. The clearinghouse that you use may also generate reports that state which claims went out on which days, and to which insurance companies they were sent. If there are errors, the clearinghouse will send you a report to let you know what was wrong with your claims so you can fix and resend them.Ĭhecking your claims at the clearinghouse will help you make sure that all your claims are actually going out to the insurance companies, not just getting stopped at the clearinghouse. See this article on medical billing clearinghouses for more on these services This clearinghouse checks your claims for errors and then sends them to the insurance company. Many of your claims will go out electronically to a claims clearinghouse, which is like a middleman between your office and the insurance company. This says which claims were sent and on which day. Typically, when you send claims through any type of practice management system, an internal report is generated.
In order to send a timely filing appeal, you have to have evidence to support your statement that the claim was sent within the timely filing deadline. If you've made sure that you have really sent your claims all within their timely filing limits, then you can send a timely filing appeal, and get your claims paid! Now that you know more about timely filing and how important it is to send your claims within the right timeframe, what do you do if some of your claims are returned because of timely filing?
AETNA TIMELY FILING LIMIT HOW TO
Make sure your local address on your SSOL account is up to date! Contact information for claims assistanceĪetna Student Health Customer Service: 80 (in or outside the U.S.Timely Filing Appeals - How to Send + Example LetterĪ sample appeal process and letter based on a timely filing denial.Ĭlick more information on what timely filing is and how it can affect the processing of your claims Make sure to keep a copy of the receipt for your records. Mail a claimĭownload the appropriate Claim Form from the Columbia/Aetna Student Health portal and mail the completed form along with a copy of your receipt to the indicated address. For assistance with registering, you may contact Aetna Customer Service at 80. Returning users: you may log in using the user name you created when you registered for the portal. New users: In order to access the member portal on the Aetna Student Health website, you must register for the site first. To check the status of a claim, visit the Manage Claims section.Input all requested information and attach a copy of your receipt.Click Send a Message and select A claim from the dropdown menu.Click Contact Us at the top right of the page.Log on to the secure Aetna member website.Submit a claim onlineīefore submitting a claim, please make sure you have a digital copy of the receipt. This information is for students currently enrolled in the Columbia University Student Health Insurance Plan.Ĭlaims must be submitted within 180 days from date of service.
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