Community Health Choice, Timely Filing Limit

Community Health Choice,'s first published filing rule in the reviewed sources is: 95 days from date of service (CMS-1500). Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The provider claims billing guidelines state a 95-day timely filing deadline from the date of service for CMS-1500 claims or the date of discharge for UB-04 claims. The same document does not provide a separate corrected-claim timely filing rule beyond corrected claim instructions, and the claims appeal/reconsideration timeframes are distinct from timely filing.

Initial claim filing limits

• 95 days from date of service (CMS-1500)
• 95 days from date of discharge (UB-04)

Corrected claim filing limits

• No separate corrected-claim filing limit was identified in the cited source.

Appeal and reconsideration deadlines

• Appeals submission deadline is 60 days from the date of last disposition of the authorization.
• Requests for reconsideration must be made within 120 days from the date of the Explanation of Payment (EOP).

Trigger basis and caveats

• The timely filing rule in the claims billing guidelines is tied to date of service for professional claims and date of discharge for institutional claims.
• The appeal deadline is tied to the last disposition of the authorization, not claim filing.
• The reconsideration deadline is tied to the date of the EOP.
• The cited source is a claims billing guideline, not a full contract exhibit; other plan- or product-specific rules may exist.
• Do not conflate claim timely filing with appeal or reconsideration deadlines.

Provider resources

• Provider Home (official)
• Resources (official)
• Forms and Guides (official)
• Prior Authorization Information (official)
• HIPAA / Electronic Claims (Marketplace) (official)
• Contact Community (official)
• Provider Claims Billing Guidelines (Jan 2026) (official)

Sources