Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 40.5.4

Time Limits for Filing Secondary Claims After Liquidation Process

Last amended: 2022Year: 2022Length: 172 wordsOfficial source
40.5.4 - Time Limits for Filing Secondary Claims After Liquidation Process (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) Participating providers and physicians and other suppliers that have accepted assignment should file claims with a receiver as soon as possible. The time limit for filing secondary claims once the liquidation process has been completed is the later of the following: • The usual time limit specified in regulations for filing Medicare claims which is 1 year from the date of service or date of discharge for inpatient hospital facility claims; or • The last day of the sixth month following the month of the written notice by the bankrupt or insolvent entity to the provider, physician, or other supplier of the amount of primary benefits payable. When the A/B MAC and DME MAC denies a claim for Medicare conditional primary or secondary benefits in insolvency cases because the receiver has not completed the determination of final payment, notify the provider or physician/supplier of the possible 6-month extension on filing claims as described above.
Medicare Secondary Payer Manual (Pub. 100-05), Ch. 5 § 40.5.4: Time Limits for Filing Secondary Claims After Liquidation Process | Justis AI