Summary Plan Description

Timely Filing Requirement

Network providers are responsible for timely claims submission. Non-network provider claims should be submitted as soon as possible but not later than 12 months from the date of service or the claim will be denied and the expenses will not be covered. All information necessary to process or reprocess the claim must be submitted within this 12-month deadline. Medicaid claims must also be submitted as soon as possible but no later than 12 months from the date of service.