Insurance Timely Filing Denials (co-29)
Andreena Pulak
Description
Collection
Title:
Insurance Timely Filing Denials (co-29)
Creator:
Andreena Pulak
Date:
2/26/2013
Text:
I have a question concerning Timely Filing denial claims. When dealing
with Medicaid for instance, in our state there is Traditional Medicaid,
but then there is also many Medicaid plans with Managed care groups. If
we originally sent our claim to Traditional Medicaid Electronically, but
they denied the claim for co-22 stating that this payer is covered by
another managed care group (because the member had Medicaid with a
Managed care group) but Traditional Medicaid did not send the claim to
the correct payer, when we finally sent the claim to the correct Managed
care group they denied the claim for co-29 Timely Filing. We have been
fighting with the insurances showing we did send the claim in a timely
matter but it was to the wrong Managed care group, but the insurance
keeps denying our appeals. Do we have any other rights to go about
getting paid for these claims? Is there someone we can contact within
the insurance company or in our Department of Insurance within our
state?
If anyone has dealt with this, or know any insight about the matter,
please email me.
Thank you
Andreena Pulak
Billing Specialist
with Medicaid for instance, in our state there is Traditional Medicaid,
but then there is also many Medicaid plans with Managed care groups. If
we originally sent our claim to Traditional Medicaid Electronically, but
they denied the claim for co-22 stating that this payer is covered by
another managed care group (because the member had Medicaid with a
Managed care group) but Traditional Medicaid did not send the claim to
the correct payer, when we finally sent the claim to the correct Managed
care group they denied the claim for co-29 Timely Filing. We have been
fighting with the insurances showing we did send the claim in a timely
matter but it was to the wrong Managed care group, but the insurance
keeps denying our appeals. Do we have any other rights to go about
getting paid for these claims? Is there someone we can contact within
the insurance company or in our Department of Insurance within our
state?
If anyone has dealt with this, or know any insight about the matter,
please email me.
Thank you
Andreena Pulak
Billing Specialist
Citation
Andreena Pulak, “Insurance Timely Filing Denials (co-29),” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/234682.
