Sanford Health Plan Timely Filing Limit

Coverage: Regional Sanford plans; Great Plains Medicare Advantage ISNP and Align Medicare Advantage have separate authorization instructions.

Sanford Health Plan filing guidance from the reviewed sources: Participating-provider context on the member claims page: providers must file within 180 days of service. Confirm the plan, provider agreement, and event that starts the filing period before submission.

At a glance

• The member claims page states a filing period in its participating-provider section.

Initial claim filing limits

• Participating-provider context on the member claims page: providers must file within 180 days of service.

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

• Confirm the member product and provider agreement before use; a current universal provider-manual limit and corrected-claim period were not verified. Do not substitute the separate nonparticipating emergency member reimbursement rule.

Provider resources

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

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed official authorization, EDI, provider resources and member claims pages. The 180-day period is explicitly attributed to the participating-provider member guidance, not treated as a rule for every Medicare or ISNP product.