Antidote Health Plan of Arizona,

Antidote Health Plan of Arizona, Timely Filing Limit

Provider-side filing deadline guidance, caveats, and evidence for claims submitted to Antidote Health Plan of Arizona,.

The most important thing to confirm with Antidote Health Plan of Arizona, is not just the number of days, but also what event starts the clock. Some payer documents measure from date of service, some from discharge, and some publish different rules for corrected claims or appeals.

At a glance

  • Official public guidance states the maximum claim filing time limit for Arizona is 1 year from the date of service. This is presented in the Transparency in Coverage page and appears to apply to medical claim submission for AZ (and OH). No separate corrected-claim or provider appeal deadline was found in the public official pages reviewed.

Initial claim filing limits

  • Arizona: 1 year from 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

  • The filing limit is stated as a maximum claim filing time limit measured from the date of service.
  • The public materials reviewed do not separately specify whether the same limit applies to corrected claims, reconsiderations, or provider disputes.
  • No distinct corrected-claim deadline was located in the official public materials reviewed.
  • No provider appeal deadline for claims denials was located in the public materials reviewed.
  • Member grievance/appeal materials exist, but they do not clearly state a provider-side claim appeal deadline in the accessible text.

Provider resources

Sources

FactValueSourceConfidence
Claim filing limitAZ and OH: 1 year from the date of service.Officialhigh
Claim filing limit repeated in same documentArizona claim filing limit appears again in later section as 1 year from date of service.Officialhigh

Last reviewed: March 27, 2026

Sources used: 1 official