By recei Appeal timely Filing Limit of Insurance Companies
| Insurance Name | Appeal Timely Filing Limit (1st level) |
|---|---|
| AETNA MEDICARE | 6 Months from Date of claim processing FOR Reconsideration/365 days for appeal |
| Age right Medicare advantage | 60 days from the date of claim processing/ |
| Alaska Medicaid | 180 days from the date of claim processing |
| Allcare Medicaid | 120 days from the date of claim processing |
| Amerigroup Medicaid | 2 years from the date of claim processing (may very per state) |
| Amerigroup Medicare | 60 days from the reconsideration/ reconsideration 120 days date of claim processing( may very per state) |
| Aetna (HMO) | 180 days from the date of claim processing |
| Humana Medicare | 65 days from the date of claim processing |
| BCBS Medicare | 365 days from the date of claim processing |
| Blue cross CA Medicare | 180 days from the date of claim processing |
| Blue cross CA Medicaid | 365 days from the date of claim processing |
| Blue shield CA Medicare | 365 days from the date of claim processing |
| CalOptima | 60 days from the date of claim processing |
| Care more | 60 days from the date of claim processing |
| Central health plan Medicare | 60 days from the date of claim processing |
| Coastal community physician | 90 days from the date of claim processing |
| Coordinated care | 90 days from the date of claim processing |
| Family care Medicaid | 120 days from the date of claim processing |
| Family care Medicare | 60 days from the date of claim processing |
| First care Medicaid | 120 days from the date of claim processing |
| Healthnet medicare of CA | 120 days from the date of claim processing |
| Humana commercial | 18 Months from the date of claim processing |
| Kaiser Wa | 365 days from the date of claim processing |
| Bankers Life | 180 days from the date of claim processing |
| Moda Medicaid | 95 days from the date of claim processing |
| Moda Medicare | 60 days from the date of claim processing |
| Optum care network HCP | 365 days from the date of claim processing |
| Pacific source Medicare | 90 days from the date of claim processing |
| Partnership Health plan | 90 days from the date of claim processing |
| Benefit Trust Fund | 180 days from the date of claim processing |
| Premera Medicare advantage | 60 days from the date of claim processing |
| Blue Cross PPO | 180 days from the date of claim processing |
| Blue Essential | 180 days from the date of claim processing |
| sunshine health | 90 days from the date of claim processing |
| superior health Medicaid | 120 days from the date of claim processing |
| Trillium community health | 180 days from the date of claim processing |
| UHC Medicare ppo | 365 days from the date of claim processing |
| UHC west Medicare | 365 days from the date of claim processing |
| Yamhill Medicaid | 180 days from the date of claim processing |
| Cigna Health spring Medicare plan | 180 days from the date of claim processing |
| Cigna (may vary per contract) | 180 days from the date of claim processing |
| Amerigroup WA | 90 days from the date of claim processing |
| Geha | 180 days from the date of claim processing |
| Greatwest | 180 days from the date of claim processing |
| Kaiser Permanente | 365 days from the date of claim processing |
| WellCare by Allwell | 180 days from the date of claim processing |
| Lifewise | 365 days from the date of claim processing |
| Anthem blue cross | 365 days from the date of claim processing |
| Evi core | 365 days from the date of claim processing |
| LA care | 365 days from the date of claim processing |
| Oscar health | 365 days from the date of claim processing |
| Great West | 180 days from the date of claim processing |
| Premera | 365 days from the date of claim processing |
| Qualis health | 180 days from the date of claim processing |
| Scott and White | 180 days from the date of claim processing |
| Tricare west | 90 days from the date of claim processing |
| Horizon NJ Plus | 180 days from the date of claim processing |
| Humana | 180 days from the date of claim processing |
| All Savers | 180 days from the date of claim processing |
| US family health | 90 days from the date of claim processing |
| VA ccn TriWest | 90 days from the date of claim processing |
| Webtpa | 120 days from the date of claim processing |
| AvMed | 150 days from the date of claim processing |
| Department of correction | 120 days from the date of claim processing |
| Idaho Medicaid | 28 days from the date of claim processing |
| key benefit administration | 180 days from the date of claim processing |
| Medi-Cal | 90 days from the date of claim processing |
| Medicare | 120 days from the date of claim processing |
| Meritain | 180 days from the date of claim processing |
| Molina | 365 days from the date of claim processing |
| Molina Medicare | 120 days from the date of claim processing |
| Tufts commercial | 60 days from the date of claim processing |
| Value options | 60 days from the date of claim processing |
| Superior health plan | 120 days from the date of claim processing |
| Sunshine star health | 180 days from the date of claim processing |
| western sky Medicare | 90 days from the date of claim processing |
| western sky Medicaid | 90 days from the date of claim processing |
| first choice health | 365 days from the date of claim processing |
| Asuris | 24 months from the date of claim processing |
| Middlewest Operating Engineers | 365 days from the date of claim processing |
| InterCare | 90 days from the date of claim processing |
| Uniform Medical plan | 24 months from the date of claim processing |
| Shasta | 180 days from the date of claim processing |
| Scan Medicare | 24 months from the date of claim processing |
| Regence BCBS | 24 Months from the date of claim processing |
| Premera preferred | 365 days from the date of claim processing |
| Northwest Administration | 180 days from the date of claim processing |
| New Mexico Medicaid | 90 days from the date of claim processing |
| Mutual of Omaha | 365 days from the date of claim processing |
| Inland empire health plan | 365 days from the date of claim processing |
| Health Infonet | 180 days from the date of claim processing |
| GMR Health care | 180 days from the date of claim processing |
| Coventry | 365 days from the date of claim processing |
| CHAMPVA | 365 days from the date of claim processing |
| Gold coast | 365 days from the date of claim processing |
| VA Admin | 365 days from the date of claim processing |
| Prime Health | 365 days from the date of claim processing |
| Allegiance | 180 days from the date of claim processing |
| ILWU | 180 days from the date of claim processing |
| Keenan | 365 days from the date of claim processing |
| Willamette valley community health plan | 365 days from the date of claim processing |
| Willamette valley Medicaid | 60 days from the date of claim processing |
| Alignment health plan | 120 days from the date of claim processing |
| Care oregon | 365 days from the date of claim processing |
Note: insurance companies have different time frames for appeal timely filing Limit, so it is also important to note that appeal filing limit can be different as per contract with insurance. Always follow whatever is mentioned in the contract. As reference we have added the general appeal limit for some well-known insurance company which are active.
Also read: Most frequently asked questions