Payer Timely Filing

The Payer Timely Filing screen is used to associate Payers with their timely filing days. This screen is accessed by clicking the Timely Filing button on the Payer Configuration screen (Admin > XClaim > Payer Configuration).

This is the first step in configuring the Timely Filing feature. Users first enter a timely filing days that reflects a Payer's timely filing deadline (such as 90 days from the claim's 'Statement Through' date), and then use the Payer Search to find and apply the deadline to selected payers.

Set Timely Filing Days

Complete the desired fields in the Enter Payer Search Criteria section and click Search. Results are displayed in the Search Results section.
Add, edit, or delete timely filing days for the selected Payer(s) using the context (right-click) menu from the Search Results grid.
- On the Edit Timely Filing Deadline screen, click the check-box next to the days from Statement Through Date (Primary claims) or days from Adjudication Date (COB claims) field, and enter the timely filing days.
- Click Save or Delete.
Click Reset as needed to clear the Search Criteria and/or Select column.
Once timely filing days are assigned to Payers, go to the Define Thresholds screen to define the Thresholds that help users identify how many days a claim has remaining compared to the Payer’s Timely Filing Deadline.

Remove Timely Filing Days

Complete the desired fields in the Enter Payer Search Criteria section and click Search.

Note: Results are displayed in the Search Results section.
Add, edit, or delete timely filing days for the selected Payer(s) using the context (right-click) menu from the Search Results grid.
- On the Edit Timely Filing Deadline screen, click the check-box next to the days from Statement Through Date (Primary claims) or days from Adjudication Date (COB claims) field, and enter the timely filing days.
- Click Save or Delete.
Click Reset as needed to clear the Search Criteria and/or Select column.