As a healthcare provider or billing specialist, you may have encountered the CO 29 denial code, indicating that the claim has been denied due to exceeding the timely filing limit. In this article, we’ll explore what TFL means, up-to-date insurance companies timely filing limits, what the CO 29 denial code signifies, and some frequently asked questions related to timely filing.
So, keep reading to learn everything you need to know about timely filing limit of different insurance companies.
- What is Timely Filing Limit of Insurance Companies in Medical Billing?
- Timely Filing Limit of Different Insurances in 2023
- CO 29 Denial Code Description and Solution
- FAQs about TFL
- Final Remarks about Timely Filing Limit
What is Timely Filing Limit of Insurance Companies in Medical Billing?
Timely filing limit refers to the period of time during which a healthcare provider or billing specialist must submit a claim for reimbursement to an insurance company. TFL varies depending on the insurance company and also the type of insurance policy/plan. Generally, timely filing limits range from 90 days to one year from the date of service.
Timely Filing Limit of Different Insurances in 2023
Each insurance company has specific timely filing limit for filing claims. For example, Medicare has a timely filing limit of one year from the date of service, while Medicaid has varying deadlines depending on the state.
Commercial insurance companies may have timely filing limits ranging from 90 days to 180 days from the date of service. Below I have mentioned the timely filing of all insurance companies in USA.
|Insurance Name||Timely Filing Limit|
|AARP||15 months from the DOS|
|Aetna||120 days from DOS|
|Aetna Appeals||60 days from previous decision|
|Aetna Better Health||180 Days|
|Aetna Better Health Appeals||60 days from previous decision|
|Aetna Denied Claims||180 Days from denial|
|Aetna Reconsiderations||180 days|
|AMA||2 Years from DOS|
|Ambetter for Non Participating providers||365 Days from DOS|
|Ambetter for participating providers||120 days from DOS|
|Ambetter for Reconsideration or Appeals||365 Days|
|American Life & Health||1 Year from DOS|
|Amerigroup for Non Participating Providers||365 Days|
|Amerigroup for Participating Providers||180 Days|
|Anthem Health Coastwise Claims||3 Years from DOS|
|Bankers Life||15 months from DOS|
|Benefit Concepts||12 months from DOS|
|Benefit Trust Fund||1 year from date of Medicare EOB|
|Blue Cross PPO||1 year from DOS|
|Blue Shield||1 year from DOS|
|Bridgestone/Firestone||12/31 of the following year of service|
|Champus||1 year from DOS|
|Cigna for Non Participating Provider||180 days from the DOS|
|Cigna for Participating Providers||90 days from the DOS|
|Coventry||180 days from the DOS|
|Fire Fighters /Local 1014||15 months from the DOS|
|FMH||6 months from the DOS|
|FRA||15 months from the DOS|
|GHI for In Network Claims||1 year from the DOS|
|GHI for Out of Network Claims||18 months from the DOS|
|GHI Secondary||365 Days from the primary EOB date|
|Great West/AH&L/||90 dates from DOS|
|Healthfirst||1 year from the DOS|
|Healthnet Access||6 months from DOS|
|HealthNet PPO||120 days from DOS|
|HIP Primary Insurance||120 days from DOS|
|HIP Secondary Payer||120 days from DOS|
|Humana Commercial Claims||90 Days from the DOS|
|Humana Medicare Claims||1 year from the DOS|
|ILWU||3 years from the DOS|
|Kaiser Permanente||90 days from the DOS|
|Keystone First Initial Claims||180 days from the Date of Service|
|Keystone First Resubmissions & Corrected Claims||365 days from the DOS|
|Local 831 Health||1 year from the DOS|
|Medicare Appeals||120 days from original determination|
|Medicare Initial Claims||12 months|
|Mega Life & Health||15 months from the DOS|
|Molina Healthcare Initial claims||1 Calender year from the DOS|
|Molina Healthcare Secondary||180 Calender days from Primary EOB processing date|
|Motion Picture Ind.||15 months from the DOS|
|Mutual of Omaha||1 year from the DOS|
|Nationwide Health||15 months from the DOS|
|One Healthplan||15 months from the DOS|
|Operating Engineers||1 year from DOS|
|Pacificare (PPO)||90 days from the DOS|
|Principal Financial||3 years from the DOS|
|Prospect Medical Group (PMG)||90 days from the DOS|
|SMA||1 year from the DOS|
|So. Ca Drug Benefit||1 year from the DOS|
|Tricare East||1 year from the DOS|
|Tricare West||1 year from the DOS|
|Troa/Mediplus||2 years from the DOS|
|UHC Community||120 days from DOS|
|Unitedhealthcare Appeals||12 months from original claim determination|
|Unitedhealthcare Non Participating Providers||180 days from the DOS|
|Unitedhealthcare Participating Providers||90 days from the DOS|
|Unitedhealthcare Secondary||90 days from Primary EOB processing date|
|Wellcare Medicare||180 days from the DOS|
CO 29 Denial Code Description and Solution
The CO 29 denial code is a common reason for claim denials in healthcare billing. This code indicates that the claim has been denied due to exceeding the timely filing limit. In other words, the provider or billing specialist did not submit the claim within the required timeframe of insurance company.
Each insurance policy has its own timely filing limit, which is the period of time during which a healthcare provider or billing specialist must submit a claim for reimbursement. If a claim is submitted after the timely filing limit, it will be denied with the CO 29 denial code and provider will not receive payment for the services rendered.
CO 29 Denial Code Solution
To avoid claims denials with the CO-29 denial code, it is important to stay up-to-date with the timely filing limits of each insurance company and make sure to submit claim within the timely filing limit. Providers and billing specialists should keep accurate records of the services rendered and submit claims in a timely manner.
In some cases, timely filing limits may be appealed with a proof of timely filing limit if there is a valid reason that causes the provider or billing specialist to submit the claim late.
It is important to note that denials with the CO 29 denial code can have a significant impact on the financial health of a healthcare provider. To avoid these denials, it is essential to have a robust billing system in place that includes accurate record-keeping and timely claims submission and follow up. You may also want to read about PR 1 denial code.
FAQs about TFL
What happens if a claim is submitted after the timely filing limit?
If a claim is submitted after the timely filing limit, it will be denied with the CO 29 denial code.
Can timely filing limit denials be appealed?
Yes, timely filing limit denials can be appealed. If a claim is denied due to a failure to submit the claim within the required time frame, the healthcare provider can appeal the denial by submitting additional information or proof of late filing that may have caused the delay in filing.
How can providers ensure that they meet timely filing limits?
Providers can ensure that they meet timely filing limits by staying up-to-date with the timely filing limits of each insurance company and type of insurance plan. Additionally, it is important to keep accurate records and submit claims in a timely manner to avoid denials.
Final Remarks about Timely Filing Limit
In conclusion, timely filing limits are an important aspect of the revenue cycle management and claims submission process in healthcare. Providers and billing specialists must be aware of the deadlines for each insurance company to ensure that claims are submitted in a timely manner and avoid denials with the CO 29 denial code.
Hi, I’m Deborah Baker from Houston, Texas. Back in 2009, I started my carrier in medical billing as an account receivable in a medical billing company. Now, with an experience of more than a decade, I am sharing my knowledge and experience to help you code and bill accurately.