Reason Code 39011

Reason Code Narrative

CLAIMS WITH DOS ON/AFTER 10/01/09 THRU 12/31/09 RECEIVED AFTER 12/31/10 WILL BE DENIED AS BEING PAST THE TIMELY FILING STATUS AND CLAIM WITH DOS ON/AFTER 01/01/10 RECEIVED MORE THAN 1 YEAR BEYOND THE WILL BE DENIED AS BEING PAST THE TIMELY FILING STATUS (EX: CLAIM DOS = 03/15/10 MUST BE RECEIVED BY COB 03/15/11).

EFFECTIVE 01/01/10, INSTITUTIONAL CLAIMS (ANY CLAIM SUBMITTED VIA 837I OR UB-04 FORM) WITH A RECEIPT DATE MORE THAN 1 YEAR BEYOND THE CLAIM'S THROUGH (TO) DATE WILL BEDENIED AS BEING PAST THE TIMELY FILING DEADLINE.

Common Reason Code Errors

  • A claim is filed to Medicare and received into FISS after timely filing limit allowed

Note: Timely filing is one year from through date of claim for an inpatient claim or one year from date of service for an outpatient claim.

Common Reason Code Corrections

  • Claims filed passed timely filing limitation must include detailed remarks to show an exception for timely filing has been met
  • If billing for a timely filing rejection, add comments "reject for timely filing" and re-submit claim

Resource

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Last Updated May 22, 2018