Corrected Claim Submission Period Extended

Date: 10/21/22

Effective September 15, 2022, the corrected claims submission review period was extended from 180 days to 365 days to align with the Iowa Medicaid market.

Claim Submission Type	Timely Filing Guidelines
Initial Claim Submission	180 days*
Corrected Claim Submission	365 days from the last adjudication date up to two years from the date of service
TPL	365 days from last date of EOP from primary carrier
Disputes/First Level Appeal	180 days from EOB for first level dispute/appeal
Second Level Appeal	30 days from the original decision notated on the provider remittance advice from the dispute/first level appeal

*Under the Public Health Emergency, beginning April 2020, initial claim submission is extended to 270 days from the date of service.

If you have any questions, please contact your Provider Relations Specialist or Provider Services at 1-833-404-1061.