Corrected Claim Submission Period Extended
Date: 10/21/22
Effective September 15, 2022, the corrected claims submission review period was extended from 180 days to 365 days to align with the Iowa Medicaid market.
Claim Submission Type | Timely Filing Guidelines |
Initial Claim Submission | 180 days* |
Corrected Claim Submission | 365 days from the last adjudication date up to two years from the date of service |
TPL | 365 days from last date of EOP from primary carrier |
Disputes/First Level Appeal | 180 days from EOB for first level dispute/appeal |
Second Level Appeal | 30 days from the original decision notated on the provider remittance advice from the dispute/first level appeal |
*Under the Public Health Emergency, beginning April 2020, initial claim submission is extended to 270 days from the date of service.
If you have any questions, please contact your Provider Relations Specialist or Provider Services at 1-833-404-1061.