Library: Policy

317:55-5-23. Timely claims filing and processing

Revised 7-1-23

(a) Timely claims filing. The CE or DBM shall adjudicate provider claims in accordance with timely filing limits specified in OAC 317:30-3-11.

(b) Timely payment. The CE or DBM shall meet timely claims payment standards specified in the Contract and 42 C.F.R § 447.45.