CBCS — Certified Billing And Coding Specialist

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A medical practice submits a claim for a service rendered on March 10, 2025. The payer's timely filing limit is 180 days from the date of service. The claim is submitted on October 1, 2025. What is the MOST likely outcome for this claim?

It will be paid in full as submitted. It will be rejected by the clearinghouse for a formatting error. It will be paid at a reduced rate due to the delay. It will be denied for exceeding the timely filing limit.

Correct Answer:

It will be denied for exceeding the timely filing limit.

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