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Subject:
Healthcare billing statute of limitations
Category: Health Asked by: rachaeltanger-ga List Price: $5.00 |
Posted:
06 Jan 2005 11:55 PST
Expires: 05 Feb 2005 11:55 PST Question ID: 453087 |
Is there a stutue of limitation on how long a doctor or other healthcare provider can wait to submit outstanding bills? |
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There is no answer at this time. |
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Subject:
Re: Healthcare billing statute of limitations
From: se1954-ga on 07 Jan 2005 23:34 PST |
depends on which insurance carrier you had/have, if provider needed to submit tx verifications or you needed authorization/precert, lots of reasons. Many carriers request HICFA/other submission within 3 months. If provider is late submitting, the carrier can say no and you have to go thru appeals process. You can get stuck if 'fine print' on consent forms you signed indicate you are responsible. |
Subject:
Re: Healthcare billing statute of limitations
From: mdcastle-ga on 22 Jan 2005 18:19 PST |
This depends a lot on the jurisdiction, and probably the individual carrier. For example, in Minnesota, carriers may reject claims that have not been submitted within 15 months. Carriers might accept older claims if A) Medicare is involved, or B) There is a really good reason, for example if the patient is deceased or incapacitated. Liability for refused charges might rest with either the subscriber or the provider, depending on the type of relationship the provider has with the carrier, or as the other comments notes, what the subscriber signed. |
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