The rule states that if a claim is timely filed to the wrong carrier that proof of submission can be used as proof of timely filing. Does this apply to a workers compensation claim?
The statute and the rule require Health Maintenance Organizations and Preferred Provider Benefit Plan carriers to accept as proof of timely filing a claim that was timely filed to another HMO or PPBP carrier. A clean claim timely filed to a workers’ compensation or automobile carrier would not satisfy the requirement. In circumstances where a provider was unclear whether a claim should be filed under workers’ compensation or under a HMO or PPBP plan, the provider may wish to file with both carriers at the same time.
Related Questions
- The rule states that if a claim is timely filed to the wrong carrier that proof of submission can be used as proof of timely filing. Does this apply to a workers compensation claim?
- I have proof that I submitted the claim within the timely filing limits, what is the appeals process? Where do I send the claim information?
- What proof is necessary if the claim being filed is for a Mobile Home?
