Provider Claims Submission Requirements Clause Samples

Provider Claims Submission Requirements. 3.9.1.2.1 For claims with no associated third-party liability, provider shall submit 90% of crisis claims within ten (10) business days from date of service, and 100% of crisis claims within thirty (30) calendar days. 3.9.2.1.2 For claims with an identified third-party liability, provider shall submit 90% of crisis claims within ten (10) business days from date of payment or receipt of explanation of benefits (denial), and 100% of crisis claims within thirty