Baylor Scott & White Insurance Company Timely Filing Limit

The most important thing to confirm with Baylor Scott & White Insurance Company 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

• The official claims page states all claims must be received within 95 days of date of service, with COB claims within 95 days of the primary payer's EOB date. The page also notes paper-claim receipt is based on arrival at the mailroom.

Initial claim filing limits

• 95 days from date of service for all claims
• 95 days from the primary payer's EOB date for coordination of benefit claims

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Provider claim redetermination time limit is calculated from the date of original denial or explanation of payment (EOP); requests received after that period are rejected.
• The provider claim redetermination request form is processed within 30 days of receipt.

Trigger basis and caveats

• Claim filing deadline is based on date of service for most claims.
• COB claims are based on the primary payer's EOB date.
• Redetermination timing is based on the date of the original denial or EOP.
• The official source does not provide a separate corrected-claim timely-filing limit in the retrieved content.
• Line-of-business-specific appeal/redetermination rules may vary; the claims page distinguishes commercial, Medicare, Medicaid, employee plan, and RightCare processes.

Provider resources

• Provider Resources (official)
• Claims & Billing (official)
• Self-Service Portal (official)
• Portal Login (official)
• Contact Us (official)
• Commercial Provider Manual PDF (official)
• Prior Authorization List PDF (official)
• Pharmacy Resources (official)

Sources