Are members required to submit the Prescription Drug Claim within a certain date span?
Yes. A claim must be submitted to ODS within 90 days after the date the medication was filled. If members fail to furnish a claim within the time required and it was not reasonably possible to submit the claim within those 90 days, the claim may still be valid, provided it is submitted as soon as reasonably possible. In no event, except absence of legal capacity, is a claim valid if submitted later than one year from the date of fill.
Related Questions
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