Get Additional Documentation Cover Sheet - Ok.gov - Ok

Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.

Timely filing is 183 calendar days from the date of service.

Affidavit Statement of Facts The affidavit must state, under penalty of perjury, that the information contained therein is true and correct to the best of the affiant's knowledge. To execute an affidavit statement of facts, the affiant must appear before a notary public and sign the document in their presence.

Stat. 5008(B). c) The mailing address for OHCA is: Oklahoma Health Care Authority, Attention: Provider Contracting, P.O. Box 54015, Oklahoma City, OK 73154.

The limit remains at 6 months from the date of service to submit a timely claim, and then once a claim is submitted timely, the provider has 6 more months to resubmit the claim if necessary, see OAC 317:30-3-11.1.

All claims are required to be submitted within 180 days from the date of service. Reconsiderations and disputes should be filed within 90 days of the provider's Electronic Remittance Advice (ERA) / Explanation of Payment (EOP) date.

You must request an appeal and your appeal must be received by the Docket Clerk within 10 calendar days of the date on the notice you received if you want your benefits to continue until your appeal has been decided. Otherwise, your appeal must be filed within 30 calendar days of the date of your notice.

Apply for Medicaid in Oklahoma Eligibility: The aged, blind, and disabled. Also, parents with income up to 42% of poverty, pregnant women with income up to 138% of poverty level, and children under age 19 with income up to 205% of poverty.