Writing a Timely Filing Appeal Letter in 2023

What is a Timely Filing Appeal Letter?

A timely filing appeal letter is a document that is used when a claim has been submitted to an insurance company outside of the allowable time frame. It can be used to request that the insurance company reconsider the claim and pay the claim in full. This type of letter is usually used when the claim was submitted late due to an oversight, a clerical error, or a misunderstanding.

When Should a Timely Filing Appeal Letter Be Used?

A timely filing appeal letter should be used when a claim is denied due to being submitted outside of the allowable time frame. It is important to note that not all insurance companies have regulations in place that allow for timely filing appeals. It is important to check with your insurance company prior to submitting a timely filing appeal letter.

What Should Be Included in the Timely Filing Appeal Letter?

A timely filing appeal letter should include the following information: the patient’s name and insurance ID number, the provider’s name and address, the date of service, the amount of the claim, the reason the claim was submitted late, and any other pertinent information.

Formatting the Timely Filing Appeal Letter

When formatting a timely filing appeal letter, it should be written in a formal business letter style. It should be addressed to the insurance company and include a salutation. The body of the letter should explain the reason for the late submission of the claim and provide any relevant supporting documents. The final paragraph should include the date of the letter and the contact information of the writer.

What Happens After the Timely Filing Appeal Letter is Sent?

Once the timely filing appeal letter is sent, the insurance company will review the claim and determine if the appeal is accepted or denied. If the appeal is accepted, the insurance company will pay the claim in full or partially. If the appeal is denied, the patient is responsible for any remaining balance.