All HealthChoice and the Department of Corrections (DOC) contracts contain timely filing provisions and HealthChoice encourages providers to file medical and dental claims within the constraints of their existing provider contracts.
As a courtesy, HealthChoice and the Department of Corrections has historically accepted medical and dental claims for dates of services received no later than the last day of the calendar year immediately following the calendar year in which the service or supply was rendered.
In order to move to a more industry standard time period for claims processing, effective Oct. 1, 2017, HealthChoice and the Department of Corrections will accept claims received no later than 365 days following the date the service or supply was rendered.
Providers are still strongly encouraged to file claims according to the timely filing limits contained within their existing HealthChoice and Department of Corrections provider contracts. The extension is offered as a courtesy to members and is subject to change upon future notice.
If you have questions, call network management at 405-717-8790 or toll-free 866-573-8642.