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Submitting a Claim to a Health Plan

Submitting a Claim to a Health Plan

A health professional, health facility, home health care provider, or durable medical equipment provider (“health care providers”) must bill a health plan within 1 year after the date of service or the date of discharge from the health facility in order for a claim to be a clean claim.

The initial submission of the claims and all other notices required may be made in writing or electronically.