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.

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