Temporary timely filing change

The Department of Health Care Policy and Financing (the Department) recognizes some providers have had difficulties submitting claims during the transition to the new claims payment system, the Colorado interChange (iC). In an effort to ensure providers are appropriately paid for services to members, MDCO is temporarily changing the limit for timely filing. Effective May 12, 2017, the timely filing limit will be extended to 240 calendar days. Therefore, they recommend providers hold claims with a Date of Service (DOS) after December 1, 2016 (that are outside the 120 days timely filing limit) and do not submit those claims until after May 12, 2017. The system will automatically calculate the additional time and providers do not need to take action to receive the extension during claims submission. Effective November 1, 2017, the limit will be changed back to 120 calendar days.

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INDUSTRY NEWS TAGS: Medicaid Colorado

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