Denver Health Medical Plan Timely Filing Limit

Coverage: Denver Health Medical Plan Colorado; commercial/Elevate, Medicaid/CHP+ and Medicare filing rules differ.

Denver Health Medical Plan filing guidance from the reviewed sources: Commercial/Elevate: 120 days from service, subject to the provider agreement. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• Use the billing guide’s product-specific filing rules and provider agreement. The guide’s 30-day submission recommendation is not the hard filing limit. Confirm the product and contract; no universal reconsideration deadline is asserted.

Initial claim filing limits

• Commercial/Elevate: 120 days from service, subject to the provider agreement.
• Nonparticipating, Medicaid/CHP+ and Medicare claims: 365 days from service under the listed guide categories.
• Commercial/Elevate COB: 365 days from the primary insurer EOP paid date.

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 guide’s 30-day submission recommendation is not the hard filing limit. Confirm the product and contract; no universal reconsideration deadline is asserted.
• Corrected claims must meet the applicable new-claim filing period.

Provider resources

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

Sources

Update notes

Last updated: 2026-10-30.

• Verified official authorization guidance and the September 2025 billing guide. Preserved product distinctions, the COB paid-date trigger and rejected-claim handling.
• Provider agreement and eligibility checks remain necessary. Future January 2027 authorization changes are excluded.