TFL

Timely Filing Limit​

The maximum time period allowed by an insurance company or payer for a healthcare provider to submit a claim for reimbursement after the Date of Service (DOS) is called the timely filing limit. If a claim is submitted after this limit is exceeded, we receive a denial 29.

Here we provide a list of TFL (Timely Filing Limits) for various payers.

If you want to verify whether a claim is within the limit or if the TFL has been exceeded, click here.

Timely Filing Limits (TFL) Reference Guide

TFL PLAN
90 days         

  • Affinity Medical Group

  • Ambetter Of TN

  • Amerigroup Medicare Advantage (Participating Provider)

  • Amerigroup Of GA (Medicaid)

  • Anthem BCBS CA (Commercial & Medicare - Participating Provider)

  • Anthem BCBS GA (Professional Claims)

  • Anthem BCBS ME (Professional Claims)

  • Anthem BCBS MO (Professional Claims)

  • Anthem BCBS Of OH (Professional Claims)

  • Anthem BCBS VA (Professional Claims - Commercial & Medicare Advantage)

  • BCBS MA (HMO/POS/PPO/Medicare Advantage)

  • BCBS MN

  • Cigna (Participating Provider)

  • Empire BCBS Of NY (Medicaid - Participating Provider & Facility)

  • Fidelis Care NY

  • GEHA

  • Health Alliance

  • Humana (Commercial Plan)

  • Medicaid NY

  • Metroplus NY (Medicaid & Medicare)

  • United Healthcare Commercial (Professional Claims - Par Provider)

  • UPMC Health Plan (Medicaid)

  • VNS Health

  • Sonder Health Plan

    		•
    95 days

  • Allwell from Superior Healthplan

  • Ambetter from Superior HealthPlan

  • Amerigroup Of TX (Medicaid)

  • BCBS TX (Medicaid)

  • Medicaid TX

  • Molina Healthcare of TX

    		•
    120 days

  • Aetna (Commercial)

  • Amerigroup TN (Medicaid)

  • BCBS NE

  • Emblemhealth (Participating Provider)

    		•
    180 days

  • Aetna Better Health Of NJ (Medicaid)

  • Aetna Better Health of CA (Medicaid)

  • Aetna Better Health of FL (Medicaid)

  • Aetna Better Health Of GA (Medicaid)

  • Aetna Better Health of IL (Medicaid)

  • Aetna Better Health of PA (Medicaid)

  • Alameda Alliance for Health

  • Altrua Healthshare

  • Ambetter from Arkansas Health & Wellness

  • Ambetter from NH Healthy Families

  • Amerigroup IA (Medicaid)

  • Anthem BCBS CA (Non-Participating Provider)

  • Anthem BCBS NV (Medicaid Managed Care - Participating Provider)

  • BCBS AR

  • BCBS NM

  • BCBS RI (Participating Provider - Commercial & Medicare)

  • BCBS SC

  • BCBS VT

  • Horizon BCBS NJ

  • Medicaid AZ

  • Medicaid GA

  • Medicaid IN

  • Medicaid PA

  • NV Medicaid (In-State Provider)

  • PA Health & Wellness

  • Unicare (Par, Non-Par & Facility)

  • UPMC Health Plan (Medicaid)

    		•
    365 days

  • Absolute Total Care

  • Aetna Better Health of KY (Medicaid & Medicare)

  • Aetna Better Health of KY (Medicaid)

  • Aetna Better Health of OH (Medicaid)

  • Aetna Better Health of WV (Medicaid)

  • Amerigroup Medicare Advantage (Non-Participating Provider)

  • Amerigroup WA (Medicaid)

  • Anthem BCBS NV (Medicaid Managed Care - Non-Participating Provider)

  • BCBS MA (Indemnity)

  • BCBS MI

  • BCBS ND

  • BCBS RI (Non-Participating Provider)

  • BCBS RI (Participating Provider - Dental Services)

  • BCBS WY

  • CGS Administrators LLC

  • Emblemhealth (Non-Participating Provider - Medicare)

  • First Coast Service Option Inc

  • Humana (Medicare Advantage Plan)

  • Medicaid AL

  • Medicaid AR

  • Medicaid CO

  • Medicaid DC

  • Medicaid FL

  • Medicaid KY

  • Medicaid LA

  • Medicaid MD

  • Medicaid MN

  • Medicaid MS

  • Medicaid NC

  • Medicaid OH

  • Medicaid RI

  • Medicaid UT

  • Medicaid WV

  • Medicaid VA

  • Medicaid WY

  • Medicare FL

  • National Government Services (NGS)

  • Noridian Healthcare Solutions

  • Novitas Solutions

  • NV Medicaid (Out-Of-State Provider)

  • Palmetto GBA

  • Palmetto Railroad Medicare

  • Tricare

  • UPMC Health Plan (Medicare & Commercial)

  • Wisconsin Physicians Service Insurance Corporation

    		•
    4 months

    • Geisinger Health Plan (GHP)
    6 months

  • PeachState Of GA (Medicaid)

  • Wellcare Of GA (Medicaid)

    		•
    12 months

  • Medicaid MI

    		•
    15 months

  • AARP

  • Bankers Life

  • BCBS AL (Medicare Advantage)

  • BCBS KS

  • BCBS LA

  • Emblemhealth (Non-Participating Provider – Medicaid)

  • Empire BCBS of NY (Medicaid – Non-Participating Provider & Facility)

    		•
    18 months

  • BCBS NC

  • Emblemhealth (Non-Participating Provider – Commercial)

    		•
    2 years BCBS DE

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