Peak Health
Peak Health Timely Filing Limit
The participating-provider manual states 365 days from service unless the agreement provides otherwise.
Short answer
The participating-provider manual states 365 days from service unless the agreement provides otherwise.
Coverage: Peak Health participating-provider guidance; distinguish Peak Health LLC third-party administration in West Virginia, Pennsylvania and Kentucky from West Virginia Peak Advantage PPO insurance.
Peak Health filing guidance from the reviewed sources: Participating-provider claims: 365 days from service, or the applicable provider agreement. Confirm the plan, provider agreement, and event that starts the filing period before submission.
At a glance
- The participating-provider manual states 365 days from service unless the agreement provides otherwise.
Initial claim filing limits
- Participating-provider claims: 365 days from service, or the applicable provider agreement.
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 reviewed manual is dated December 2024. Do not apply this rule automatically to nonparticipating or Peak Advantage Medicare claims. Corrected and appeal periods remain unverified.
Provider resources
- Official 2026 Medicare documents (official)
- Official policy source (official)
- Official policy source (official)
Sources
| Fact | Value | Source | Confidence |
|---|---|---|---|
| Official policy review | The participating-provider manual states 365 days from service unless the agreement provides otherwise. | Official | high |
Update notes
Last updated: 2026-10-30.
- Reviewed official indexed participating-provider manual text, the policy library and 2026 Medicare documents. Separated insurer and administrator scope.
- Direct main-site/manual retrieval was blocked by HTTP 403. Indexed official evidence supports the limited filing/submission facts, not a complete current PA intake process.
Last reviewed: October 30, 2026
Sources used: 1 official
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