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Payors will only reconsider claims previously denied for timely filing if proof of timely filing is included with the resubmission, and the proof meets the payor's criteria for acceptable evidence of timely filing. Most importantly, generate an aging report each month, promptly investigate, and take appropriate follow up action regarding any claims with dates of service in excess of 30 days.Claims with attachments must be mailed by HNS to the payors therefore, proof of timely filing cannot be provided. Ensure you and your staff only submit an attachment to a paper claim when the attachment is required in order for the claim to be adjudicated.Corrected claims are mailed by HNS to the payors, therefore proof of timely filing cannot be provided. A corrected claim should ONLY be filed when you have received the EOB, and a change is required relative to the information included on the originally submitted claim. Ensure you and your staff understand what a "corrected" claim is and mark it as corrected ONLY if it meets the criteria of a corrected claim.Note: If the error is due to an incorrect member ID number OR incorrect DOB, correct the information and resubmit the claim via HNSConnect. If a claim has an error, promptly correct and resubmit the claim, then follow up the next day to ensure the revised claim was accepted by HNSConnect ®. Within 24 hours of submission of a claim filed via HNSConnect ®, check the status of the claim file to ensure no claims errored back to you.Promptly research and resolve issues associated with HNS Electronic Claim Error Reports and promptly refile those claims.Please refer to the Quick Reference Guide on the HNS website. Certain claims must be sent to HNS via paper claims.Note: If a change to the member's ID number or DOB is required, the claim should be resubmitted via HNSConnect. If HNSConnect indicates the initial claim has an error, the claim may need to be submitted by paper.Ensure all primary claims are submitted via HNSConnect ® (or, as applicable, Office Ally™).Always obtain and document timely filing policies when verifying benefits for each patient, as these vary among payors.Consistently comply with HNS and payor Timely Filing Policies.The consistent utilization of the following best practices will improve your cash flow, reduce your A/R, and should eliminate timely filing denials. HNS has developed best practices to reduce timely filing denials.
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All corrected claims must be filed to HNS within 15 days of the date of receipt of the EOB for the original claim.All secondary claims must be filed to HNS within 15 days of the date of receipt of the primary EOB.All primary claims must be filed to HNS within 15 days of the date of service.HNS Policies and "Best Practices" improve cash flow, reduce A/R, and reduce timely filing denials.