Carpenters Health and Security Plan

Timely Filing Requirement 

Network providers are responsible for timely claims submission. Non-network provider claims should be submitted as soon as possible but not later than 12 months from the date of service or the claim will be denied and the expenses will not be covered. All information necessary to process or reprocess the claim must be submitted within this 12-month deadline. Please note: The plan pays primary to Medicaid so if you are also eligible for Medicaid you must notify your provider of your plan coverage. Claims for which Medicaid would be secondary must also be submitted as soon as possible but not later than 12 months from the date of service. Claims for which Medicaid would be secondary submitted by a provider more than 12 months from the date of service will be denied, even if the provider was not aware of the plan coverage.

Last Updated: 11/04/2021