Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 30.3
Time Limit for Filing WC Claims
30.3 – Time Limit for Filing WC Claims
(Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24)
Beneficiaries are obligated to apply for WC benefits for which they are entitled, and to abide by the terms
under which those benefits are offered. See 42 CFR § 411.43. Most WC plans have time limits within which
the employee must notify the employer/ other plan sponsor that a work-related injury or illness occurred and
file a claim. If a claim was not timely filed to the WC carrier, Medicare would deny the claim if submitted
for payment.