Attach Form HFS1624, Override Request form, stating the reason for the override. Submit a paper HFS 2360, HFS 1443, HFS 2209, HFS 2210, or HFS 2211 with the EOMB attached showing the HIPAA compliant denial reason/remark codes. Medicare denied claims – subject to a timely filing deadline of 2 years from the date of service.Claims may be submitted electronically or on the paper HFS 3797 to the following address: Medicare crossovers (Medicare payable claims) – subject to a timely filing deadline of 2 years from the date of service.Timeliness for replacement claims, or a void & rebill transaction, is the same as that indicated below. The 12 month deadline extends to any exceptions that indicate a 180 day extension for all other providers. Claims received from a provider operated by a unit of local government with a population exceeding 3,000,000 when local government funds finance federal participation for claims payment – subject to a timely filing deadline of 12 months from date of service.
HUMANA TIMELY FILING MANUAL
Timely filing override requests for any exceptions that require a manual override must be submitted with an original paper claim form and any attachments to the following address (unless otherwise noted):Įxceptions to the 180 day Timely Filing Requirement are as follows:
HUMANA TIMELY FILING PROFESSIONAL
Timeliness of override requests received in the Bureau of Professional and Ancillary Services is determined by the date stamp. If the claim must be routed to a different unit for special handling, the paper claim will be physically date stamped on the day it is received in the unit.
The first 7 numbers of the DCN represent the Julian date the claim was received. Upon arrival at the Bureau of Claims Processing, paper claims are assigned a document control number (DCN) within 24 hours.
DME items that are covered by Medicare in certain situations should be submitted to Medicare and the Medicare timely filing guidelines listed for Medicare payable claims would apply.Ĭlaims addressed to a HFS post office box are received M-F between 8:30 am and 5:00 pm at a distribution center for further sorting and delivery to specified locations/units. Timely filing applies to both initial and re-submitted claims.ĭurable medical equipment and supplies (DME) identified on the DME fee schedule as not covered by Medicare are subject to a 180 day timely filing requirement and must be submitted to the Department within 180 days from the date of service. Non-Institutional claims are subject to a timely filing deadline of 180 days from date of service.
0 kommentar(er)
