What if I contacted the Department or fiscal agent and I am still waiting for a response? Waiting for prior authorization or correspondence from the Department or the fiscal agent is not an acceptable reason for late filing. If there is an RA within the last 60 days, providers must reference the previous ICN. Can I attach a copy of my Remittance Advice (RA) as a timely extension? No. The fiscal agent does not accept attachments via batch submissions. Attachments should be submitted with the claim via the Provider Web Portal. Providers must enroll and submit claims within 365 days from the DOS.Ĭlaims that are not able to be submitted within the 365-day guideline, but have one (1) of the above documents attached to the submission will be put into suspended status and will be reviewed by the fiscal agent.
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Providers always have at least 365 days from the DOS to submit a claim. This is a permanent change, not a temporary extension. What is the deadline for meeting timely filing requirements? Effective June 1, 2018, the Department of Health Care Policy & Financing (the Department) extended the timely filing period to 365 days from the date of service (DOS).