CDPHP Timely Filing Limit

Manual review required. Do not use unconfirmed instructions to submit a request or claim.

• Missing claim filing limit details.

Coverage: CDPHP New York coverage; verify product, network participation and provider agreement.

CDPHP filing limits depend on the plan, provider agreement, and event that starts the filing period. Confirm each item in the official provider resources before submission.

At a glance

• Initial filing remains unverified; do not substitute the provider review period.

Initial claim filing limits

• Not clearly published in the researched sources.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Requests for claim adjustment or review must be received within 180 days of claim adjudication, subject to the applicable product and agreement.

Trigger basis and caveats

• Medicare, FEHBP and self-insured products have exceptions. No initial or corrected-claim filing limit is established here; manual review is required.

Provider resources

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

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed official authorization, claim submission and claim review manual sections. Kept the 180-day adjudication-based review period separate from initial filing.
• Claim submission PDF text extraction was unreliable; only official indexed submission text was usable. Initial filing and contract exceptions require provider confirmation.