US · guidance
CMS Pub. 100-16, ch. mc86c16a, § 120
Timely Filing Requirement
For services furnished on or after January 1, 2010, deemed and non-contracting providers
furnishing services to PFFS plan members must submit a claim to the plan for an Original
Medicare-covered service within the same time frame the provider would have to submit
under Original Medicare, which is within 1 calendar year after the date of service
The rules for submitting timely claims under Original Medicare can be found at
https://www.cms.gov/MLNMattersArticles/downloads/MM6960.pdf.
History
(Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b8611c1512a90cc7d514ac17419a6b1d36ede58061762b38f2daf487ec816b09
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