Free Appeal for “Timely Filing Deadline Exceeded” Denials
The insurer denied the claim because it was submitted after the filing deadline. If you can prove timely submission, this denial can be overturned.
35%
Appeal Success Rate
How to Appeal “Timely Filing Deadline Exceeded” Denials
When your insurer denies a claim as “timely filing deadline exceeded,” it means the insurer denied the claim because it was submitted after the filing deadline. if you can prove timely submission, this denial can be overturned. Here are proven strategies to overturn this type of denial:
1.Obtain proof of original submission (tracking number, confirmation)
2.Show the claim was timely filed but lost or misprocessed by insurer
3.Check if state prompt-pay laws extend filing deadlines
4.Request equitable exception if delay was beyond your control
5.If provider filed late, request provider hold you harmless
AMA / Clinical Guidelines
Providers have a duty to submit claims timely. Patients should not be balance-billed for provider filing errors.
Winning Cases for “Timely Filing Deadline Exceeded”
King v. Humana (2024)
King v. Humana, No. 24-CI-01234 (Ky. Cir. 2024)
Timely filing denial overturned when patient can show claim was submitted within deadline but insurer lost/misprocessed it.
Outcome: Won — $5,600
Relevant Statutes
Ky. Rev. Stat. § 304.17A-600
Other Denial Types
Not Medically Necessary
62% success rate
Pre-Authorization / Prior Authorization Required
58% success rate
Out-of-Network Provider
55% success rate
Experimental or Investigational
45% success rate
Coding or Billing Error
72% success rate
Service Not Covered Under Plan
40% success rate
Duplicate Claim
68% success rate
Policy Lapse / Not in Effect
55% success rate
Excluded Driver
48% success rate
Coverage Exclusion / Not Covered
35% success rate
Failure to Report Timely
42% success rate
Disputed Liability / At-Fault
50% success rate
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