Mental Health Billing: How long do Providers have to submit an Insurance Claim?

If you are a mental health/behavioral health professional, working in private or group practice, you will have your work cut out for you. We want to help you with some quick tips and answers.

How long do health providers have to submit a claim?

We talked to the Senior Medical Biller at Thriveworks, Alicia Potts, and she gladly shared her knowledge with us.

“Honestly, it varies by insurance companies, so it is always good to check with the insurance companies that you submit claims to. In some cases, time is shorter – Aetna normally allows 90 days, and in others cases, you have more than a year – Medicare typically allows 1 year to 18 months (but it depends on the state).”

Some can be 90 days, but again, it varies by company.

Quick Tip

Thus, if you provide the service, forget to submit it, and then remember to submit the claim late, it will probably be denied. Unless you can provide proof that you submitted it, or you can give a legitimate reason, it will be denied.

Learn more about the exciting benefits of opening a Thriveworks Counseling center in your area, here: Counseling Franchise.

Sincerely,

Your Friends at Thriveworks

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Anthony Centore

Anthony Centore Ph.D. is Founder and CEO at Thriveworks--a counseling practice, focused on premium client care, with 240+ locations across the USA. He is Private Practice Consultant for the American Counseling Association, columnist for Counseling Today magazine, and Author of How to Thrive in Counseling Private Practice. Anthony is a multistate Licensed Professional Counselor and has been quoted in national media sources including The Boston Globe, Chicago Tribune, and CBS Sunday Morning.

Check out “Leaving Depression Behind: An Interactive, Choose Your Path Book” written by AJ Centore and Taylor Bennett."