Health First Commercial Plans Timely Filing Limit

Coverage: Florida Health First commercial plans; not New York Healthfirst.

Health First Commercial Plans filing guidance from the reviewed sources: Historical commercial guidance for individual participating providers: six months from service/discharge or the date correct insurance information was furnished; provider contract controls. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The August 2023 guidance makes the provider contract controlling. For individual participating providers it describes primary claims within six months of service/discharge or receipt of correct insurance information.

Initial claim filing limits

• Historical commercial guidance for individual participating providers: six months from service/discharge or the date correct insurance information was furnished; provider contract controls.

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

• Claimsnet acceptance, not a clearinghouse submission or rejection alone, is the stated electronic proof.
• Historical August 2023 document; confirm the current agreement. Do not use its Medicare one-year or secondary-claim rules as commercial rules.
• Corrections and rejected paper claims must meet the original filing period.

Provider resources

• Official provider policy or review source (official)
• Official provider policy or review source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Removed cross-product deadlines and unverified routing details. Filing evidence is historical; commercial authorization workflow remains unverified.