Have you read the fine print on your claims, pre-determinations and participating provider contracts you have signed? There are some companies (and some plans within those companies) that place a deadline on how long, after a service is performed, you can file for that service. Sometimes it can vary from 6 months to 2 years.

And what if COB is involved and the reason you're filing the for the secondary insurance late is because the primary paid slowly?

And if you are denied despite the fact that you did file it several times and it went unanswered? Do you have the documentation to prove that to an appeals board?

Claims can fall between the cracks with ven the finest PMS system so make sure you're current on your filings.

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