Common use of Accurate Billing Clause in Contracts

Accurate Billing. The provider agrees that all original Medicaid primary claims must be received by the Department within 180 days from the date the service was provided, all original Medicare crossover claims must be received by the Department within 180 days from the date of the Medicare Explanation of Benefits (EOB), and all original Medicaid secondary/tertiary claims (excludes Medicare crossovers) must be received by the Department within 365 days from the date the service was provided. The provider agrees that all requests for replacements, resubmissions, and voids of an adjudicated claim must be received by the Department within 365 days from the date the service was provided. The provider agrees that claims not submitted for payment within these timeframes may not be billed to the client.