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You have 180 days from date of service, discharge or authorization denial to submit a post-service appeal.
An appeal may be filed orally by phone, or in writing (mail or fax). This needs to be within 60 calendar days of when you get the notice of adverse benefit determination (denial notice). Call Peach State toll free at 1-800-704-1484, TTY/TDD 1-800-255-0056.
Failure to file a claim within six months after a service is rendered and/or failure to obtain a required prior approval or precertification will result in a denial of that claim.
Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. If a claim isnt filed within this time limit, Medicare cant pay its share.
Call us at 1-800-704-1484 (TTY/TDD 1-800-255-0056). You can also view more information about Peach State Health Plan in our Member Handbook.
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People also ask

Timely Filing Requirements All CareSource claims that are clean with correct coordination of benefits will now be accepted 180 days from the date of service. Claim appeals will be accepted 30 days from the date of the adverse action, denial of payment, remittance advice, or initial review determination was mailed.

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