Community Health Choice, Timely Filing Limit

The most important thing to confirm with Community Health Choice, 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 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