The Medicaid Michigan timely filing limit is 12 months from the date of service. The Michigan Department of Health and Human Services (MDHHS) measures that window by the claim’s transaction control number, and uses the “To” or “Through” date for institutional and Medicaid Health Plan claims. Older claims are considered only under seven documented exceptions….
The BCBS New York timely filing limit is the deadline for a Blue plan to receive a claim, and no single number applies. Empire BlueCross BlueShield and Excellus BlueCross BlueShield publish 120 days for professional commercial claims, Highmark Blue Cross Blue Shield allows 365 days in western and northeastern New York, and Medicaid managed care…
The BCBS Pennsylvania timely filing limit depends on the Blue plan. Highmark Blue Cross Blue Shield and Independence Blue Cross publish 365 days from the date of service, while Capital Blue Cross publishes 180 days for professional claims unless the contract says otherwise. Act 68 governs how fast plans pay clean claims, not how fast…
The Medicaid Georgia timely filing limit requires fee-for-service claims to reach Georgia Medicaid within six months after the month the service was provided, so any March 2026 service is due by September 30, 2026. Secondary and Medicare crossover claims generally receive 12 months from the month of service. A March 1 visit and a March…
The Medicaid Illinois timely filing limit is a state claim deadline that requires the Illinois Department of Healthcare and Family Services (HFS) to receive fee-for-service claims within 180 days of the date of service. The limit covers initial and resubmitted claims. Medicare crossover claims get 24 months, and managed care plans set deadlines in their…
The UHC Illinois timely filing limit is the contract-defined deadline for UnitedHealthcare to receive a claim after the date of service, discharge or final outpatient visit. UnitedHealthcare publishes no single Illinois number; the participation agreement sets the window, and the payer’s own claims example uses 90 days. Search for a UHC Illinois filing deadline and…
The UHC New York timely filing limit is the deadline for UnitedHealthcare to receive a provider’s claim, and the number varies by plan. New York Insurance Law §3224-a(g) sets a 120-day default from the date of service for state-regulated plans. UnitedHealthcare’s Participation Agreement can allow longer, while Medicaid managed care contracts cannot go below 90…
The BCBS Florida timely filing limit, administered by Florida Blue, is set by each provider agreement, and the Florida Blue provider manual states 180 days from the date of service. Florida law separately requires claims within six months. Secondary claims, corrected claims and appeals follow different clocks, and appeals are allowed one year from the…
The BCBS Texas timely filing limit depends on the plan. Blue Cross and Blue Shield of Texas (BCBSTX) requires Blue Choice PPO claims within 365 days of the date of service and HMO claims within 180 days, according to BCBSTX provider manuals. Medicaid and CHIP claims must reach BCBSTX within 95 days. Individual provider contracts…
The Medicaid Pennsylvania timely filing limit is 180 days from the date of service for original fee-for-service claims, under 55 Pa. Code Section 1101.68. Rejected claims and adjustments must be received within 365 days of service. HealthChoices managed care plans set windows by contract, and some apply shorter periods to specific services. Practices that bill…