Post by retardy4thaparty on Dec 10, 2013 15:30:11 GMT -5
I'd call your former insurance company as ask what the timely filing limit is. This is the period of time after the date of service that they will accept claims. I've seen anywhere from 12-15 months that they will process the claims.
Also, make sure the explanation of benefits from the other carrier is included with the claim submission. It will help things move quickly.
Post by sunshineluv on Dec 10, 2013 15:33:38 GMT -5
I would call the other company, there is a thread on mm right now about getting a hospital bill 18 months later. I think if they can bill you that late, you should be able to give them a bill that late. I mean it is worth a shot! GL
Post by mrsjuleshs on Dec 10, 2013 16:13:42 GMT -5
Definitely have them file the claim with the other insurance. My doctor had billed the wrong insurance that we no longer had by the time the bill got to us 17 months later. We were able to have them refile it with the correct bill and it got paid. Fingers crossed they are willing to work with you.
Are you both on calendar year plans? I'm confused as to how her 2012 claim impacts her 2013 deductible?
One was under a calender year plan 1/1/12 - 12/31/12 , one started 12/1/12 - 11/30/12.
So, her hospital visit on 12/20/12 could have been sent through both insurance companies.
You are probably still able to submit it, I think most companies allow 18 months, but you can find out what their timely claim filing threshold is in your SPD.