Network Health Timely Filing Limit

Coverage: Wisconsin Network Health plans; confirm commercial, Medicare PPO or Assure product and provider contract.

Network Health filing guidance from the reviewed sources: Outpatient: 90 days from date of service, unless the provider contract specifies otherwise. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The claim submission policy gives separate outpatient, inpatient, secondary and corrected-claim periods.

Initial claim filing limits

• Outpatient: 90 days from date of service, unless the provider contract specifies otherwise.
• Inpatient: 90 days from discharge, unless the provider contract specifies otherwise.
• Secondary: 90 days from the payment date on the primary payer remittance advice, or the provider contract period.

Corrected claim filing limits

• 120 days from the original claim remittance advice.

Appeal and reconsideration deadlines

• Not clearly published in the researched sources.

Trigger basis and caveats

• An EDI rejection does not extend the original filing period.
• Confirm the policy applies to the member product and check the provider contract.

Provider resources

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

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed the official claim submission policy, claims resources and authorization page. Retained separately triggered filing periods; omitted unneeded payer IDs and postal addresses. Contract and product verification remain necessary.