UnitedHealthcare of Arizona, Timely Filing Limit

The most important thing to confirm with UnitedHealthcare of Arizona, is not just the number of days, but also what event starts the clock. Some payer documents measure from date of service, some from discharge, and some publish different rules for corrected claims or appeals.

At a glance

• The Arizona provider manual states that claims initially submitted outside timely filing are not paid. The manual does not give a single universal Arizona filing deadline in the retrieved text; instead, it says timely filing limits vary by state requirements and the provider agreement. For late or corrected claims, the manual indicates corrected claims must be received within 90 days from the date of service or within the timely filing limits in the agreement, whichever governs. Dental manual language says claim reconsideration should be submitted within 365 days from date of service or as stated in the agreement.

Initial claim filing limits

• No single universal Arizona deadline was retrieved; timely filing limits vary by agreement and state requirements.
• Claims initially submitted outside timely filing guidelines are denied as late billed.

Corrected claim filing limits

• Corrected claims must be received within 90 days from the date of service or within the timely filing limits set forth in the provider agreement, whichever applies.
• Dental manual: timely filing limitations apply when a denied claim is being resubmitted with additional information.

Appeal and reconsideration deadlines

• Dental manual: claim reconsideration within 365 days from date of service or as stated in the agreement.
• For disputes, the manual references filing within 60 days after payment, denial, or recoupment of a timely claim submission, whichever is later.

Trigger basis and caveats

• The provider manual calculates submission deadlines from the claim end date of service, inpatient discharge date, or effective date of eligibility posting, whichever is later.
• Proof of timely filing for paper claims requires documentation showing claim submission occurred within the timely filing period.
• The exact timely filing window is contract-dependent and was not exposed as a single Arizona-wide number in the retrieved sources.
• Different claim types and plan segments may use different rules.

Provider resources

• Arizona prior authorization and notification landing page (official)
• Arizona AHCCCS Complete Care, DD, and ALTCS Provider Manual (official)
• Arizona Dental Provider Manual (official)
• Digital and paperless initiatives / portal resources (official)
• Claims correction / reduced claim returns and rework (official)

Sources