Common use of Time to file claims Clause in Contracts

Time to file claims. Unless a longer timeframe is required under applicable law, all information necessary to process a claim must be received by United no more than 90 days from the date of discharge or from the date outpatient Covered Services are rendered. If Payer is not the primary payer, and Facility is pursuing payment from the primary payer, the timely filing limit will begin on the date Facility receives the claim response from the primary payer.

Appears in 3 contracts

Samples: Ancillary Provider Participation Agreement, Ancillary Provider Participation Agreement, Ancillary Provider Participation Agreement

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Time to file claims. Unless a longer timeframe is required under applicable law, all information necessary to process a claim must be received by United no more than 90 days from the date of discharge or from the date outpatient Covered Services are rendered. If Payer is not the primary payer, and Participating Facility is pursuing payment from the primary payer, the timely filing limit will begin on the date Participating Facility receives the claim response from the primary payer.

Appears in 2 contracts

Samples: Provider Organization Participation Agreement, Provider Organization Participation Agreement

Time to file claims. Unless a longer timeframe is required under applicable law, all information necessary to process a claim must be received by United no more than 90 [90] days from the date of discharge or from the date outpatient Covered Services are rendered. If Payer is not the primary payerpayer on a claim, and Facility Participating Professional is pursuing payment from the primary payer, the timely filing limit period in which Participating Professional must submit the claim will begin on the date Facility Participating Professional receives the claim response from the primary payer.

Appears in 2 contracts

Samples: Provider Organization Participation Agreement, Provider Organization Participation Agreement

Time to file claims. Unless a longer timeframe is required under applicable law, all All information necessary to process a claim must be received by United no more than 90 days from the date of discharge or 90 days from the date all outpatient Covered Services are rendered. In the event United requests additional information in order to process the claim, Facility will provide such additional information within 90 days of United’s request. If Payer is not the primary payer, and Facility is pursuing payment from the primary payer, the timely 90 day filing limit will begin on the date Facility receives the claim response from the primary payer.

Appears in 1 contract

Samples: Facility Participation Agreement

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Time to file claims. Unless a longer timeframe is required under applicable law, all information necessary to process a claim must be received by United no more than 90 days from the date of discharge or from the date outpatient Covered Services are rendered. If Payer is not the primary payerpayer on a claim, and Facility Medical Group is pursuing payment from the primary payer, the timely filing limit period in which Medical Group must submit the claim will begin on the date Facility Medical Group receives the claim response from the primary payer.

Appears in 1 contract

Samples: Medical Group Participation Agreement

Time to file claims. Unless a longer timeframe is required under applicable law, all information necessary to process a claim must be received by United no more than 90 days from the date of discharge or from the date outpatient Covered Services are rendered. If Payer is not the primary payerpayer on a claim, and Facility is pursuing payment from the primary payer, the timely filing limit period in which Facility must submit the claim will begin on the date Facility receives the claim response from the primary payer.

Appears in 1 contract

Samples: Facility Participation Agreement

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