Timely Filing - JE Part B

Common Reasons for Message

• Claim is billed later than one calendar year from date of service (DOS)
• Illegible DOS on CMS 1500 Claim Form

Next Step

• Verify DOS submitted is correct
  • If the DOS was incorrect, submit a new claim with corrected DOS

Claim Submission Tips

• A claim denied for timely filing is not afforded appeal rights.
• If claim is submitted later than one year after the DOS because of a government agency administrative error, include an appropriate comment in Item 19 of the CMS 1500 Claim Form or the electronic equivalent.
• Additional information on the Timely Filing webpage.
• Noridian's optical character recognition (OCR) may misread handwritten claims, as they are difficult to read. To ensure accurate processing of claims, Noridian recommends claims be typed, not handwritten. Be sure to follow Centers for Medicare & Medicaid Services (CMS) printing standards:
  • CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 26, Section 30