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Claims Filing Guidelines - Aetna

Claims Filing Guidelines Claims Timely Filing Guideline Plan Participating Provider shall mail or electronically transfer (submit) the claim within 180 days from the date Providers of service (DOS). Inpatient Services 180 days from the date of discharge Non-Participating Providers Provider shall mail or electronically transfer (submit) the claim within 365 days from the date of service (DOS). Inpatient Services 365 days from the date of discharge Plan as Secondary Payor When the Managed Care Plan is the secondary payer, the provider must submit the claim within ninety (90) calendar days after the final determination of the primary payer.

Appeals_and_Grievances Timely Filing _Website_Doc08.2019 Author: CQF Subject: Accessible PDF Keywords: PDF/UA Created Date: 8/14/2019 1:09:51 PM ...

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