If previous notes states, appeal is already sent.If we have clearing house acknowledgement date, we can try and reprocess the claim over a call.If claim history states the claim was submitted to wrong insurance or submitted to the correct insurance but not received, appeal the claim with screen shots of submission as proof of timely filing(POTF) and copy of clearing house acknowledgement report can also be used.If the first submission was after the filing limit, adjust the balance as per client instructions. ![]() Exceptions apply to members covered under fully insured plans. We also have a list of state exceptions to our 180-day filing standard. Billed information not complete or inconsistent with level of service. We have state-specific information about disputes and appeals. Review the application to find out the date of first submission. YOU MAY SUBMIT YOUR REQUEST TO WELLCARE OF KENTUCKY VIA ONE OF THE FOLLOWING METHODS: Fax: 1-80 Email: Mail: WellCare Health Plans Attention: External Independent Third Party Review 13551 Triton Park Blvd. TF1 Claim not received within the timely filing limit H31 Category II Reporting Code(s) and/or Category III Emerging Technology Code(s) 0IT Not a clean claim.Whenever claim denied as CO 29-The time limit for filing has expired, then follow the below steps: Refer to the instructions below for information on submitting CMS-1500 and UB-04 claims forms. When you submit a corrected claim, it is important that you clearly identify that the claim is a correction rather than an original claim. If claims submitted after the timely frame set by insurances, then those claims will be denied by insurance companies as CO 29-The time limit for filing has expired. will treat corrected claims as replacement claims. Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims.
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