Timely filing limits (TFL)
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.
120 plans
Timely Filing Limits (TFL) Reference Guide
Here we provide a list of TFL (Timely Filing Limits) for various payers. To verify whether a claim is within the limit or if the TFL has been exceeded, use the TFL&AFL Calc.
90 days 24 plans
- 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 6 plans
- Allwell from Superior Healthplan
- Ambetter from Superior HealthPlan
- Amerigroup Of TX (Medicaid)
- BCBS TX (Medicaid)
- Medicaid TX
- Molina Healthcare of TX
120 days 4 plans
- Aetna (Commercial)
- Amerigroup TN (Medicaid)
- BCBS NE
- Emblemhealth (Participating Provider)
180 days 27 plans
- 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 45 plans
- 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 1 plan
- Geisinger Health Plan (GHP)
6 months 2 plans
- PeachState Of GA (Medicaid)
- Wellcare Of GA (Medicaid)
12 months 1 plan
- Medicaid MI
15 months 7 plans
- 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 2 plans
- BCBS NC
- Emblemhealth (Non-Participating Provider – Commercial)
2 years 1 plan
- BCBS DE
No plan matches that search. Ask us to add it.
Filing limits can differ by plan, state and provider status (participating or non-participating), and payers update them from time to time. Always confirm with the payer before relying on a limit.
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