Alliance Health (North Carolina) Timely Filing Limit

Coverage: North Carolina Alliance Health Medicaid Tailored Plan and state-funded services; filing periods differ by program.

Alliance Health (North Carolina) filing guidance from the reviewed sources: Medicaid Tailored Plan: 365 days from the date of service. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The current manual separates Medicaid Tailored Plan and state-funded initial filing.

Initial claim filing limits

• Medicaid Tailored Plan: 365 days from the date of service.
• State-funded services: 90 days from the date of service.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Not clearly published in the researched sources.

Trigger basis and caveats

• Invalid provider or member rejections do not count as received claims.
• Use the operative claims section, not the older 180-day entry in the revision history. Third-party and retroactive-eligibility exceptions require supporting evidence. Corrected and appeal periods were not separately verified.

Provider resources

• Official policy source (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Rechecked the July 2026 official manual and claims submission page. Preserved separate Medicaid and state-funded filing periods.
• Network enrollment, portal access and contract terms require provider confirmation. This record is the North Carolina organization, not another similarly named payer.