Aetna Timely Filing Limit for Initial Claims

When it comes to submitting claims for benefits, understanding the timely filing limits is crucial. This article will delve into the details of Aetna's timely filing limit for initial claims.

For Aetna, the timely filing limit is 90 days from the date of service. This means that healthcare providers must submit a request for payment of benefits within this timeframe to avoid delays in processing and potential denials. It's essential to note that this deadline applies to both electronic and paper submissions.

However, it's not just Aetna that has timely filing limits. Other health insurance companies, such as UnitedHealthcare, Blue Cross Blue Shield, and Cigna, also have their own deadlines for submitting claims. These deadlines vary depending on the payer, with some allowing 90 days while others may allow up to a year.

In medical billing, a timely filing limit refers to the timeframe within which a claim must be submitted to a payer. Failure to meet this deadline can result in delays or denials of claims. Healthcare providers should carefully review their contracts and understand the timely filing limits set by each payer to avoid potential issues.

If a claim is denied due to late submission, healthcare providers have 180 days from the date of original denial or 180 days from the date of service (whichever is greater) to resubmit the claim. It's essential to keep track of these deadlines to avoid further delays.

In conclusion, understanding Aetna's timely filing limit for initial claims is crucial for healthcare providers to ensure prompt and accurate processing of claims. By knowing the deadline and taking steps to meet it, providers can avoid delays and potential denials, ultimately benefiting their patients.

Aetna timely filing limit for initial claims