Contracted providers

Medicare

Please refer to contract for filing deadlines.
Non-contracted providers

Medicare

If date of service is in the first three quarters of the calendar year, all claims must be submitted by the end of December of the following calendar year.

If date of service is in the last quarter of the calendar year, all claims must be submitted by the end of December of the second calendar year.

When The IPA Is The Secondary Payor

When the IPA is the secondary payor, the time frame for claims submission begins on the date the provider receives payment or denial notice from the primary carrier