Timely-filing appeal
For a claim denied because it arrived after the payer's filing deadline (CARC 29). Strongest when you can attach proof the claim was originally submitted on time.
For denials like:
The letter
[DATE] [PAYER NAME] Attn: Appeals Department Re: Appeal of timely-filing denial Patient: [PATIENT NAME] Date of birth: [PATIENT DATE OF BIRTH] Member ID: [MEMBER ID] Claim number: [CLAIM NUMBER] Date(s) of service: [DATE(S) OF SERVICE] Procedure code(s): [CPT CODE(S)] To whom it may concern: The above claim was denied for timely filing (reason code [DENIAL CODE FROM THE REMITTANCE]) on the remittance dated [REMITTANCE DATE]. I am appealing that determination. [EXPLAIN THE CIRCUMSTANCES — for example, the date the claim was first submitted, any evidence of that submission, or the reason the claim could not be filed sooner.] I have enclosed [LIST YOUR PROOF OF TIMELY SUBMISSION — e.g. a clearinghouse acceptance report, an electronic submission confirmation, or correspondence]. Please accept this appeal and reprocess the claim. I can be reached at [PROVIDER PHONE]. Sincerely, [PROVIDER NAME AND CREDENTIALS] NPI: [PROVIDER NPI] [PROVIDER ADDRESS] [PROVIDER PHONE]
What you fill in
- • DATE
- • PAYER NAME
- • PATIENT NAME
- • PATIENT DATE OF BIRTH
- • MEMBER ID
- • CLAIM NUMBER
- • DATE(S) OF SERVICE
- • CPT CODE(S)
- • DENIAL CODE FROM THE REMITTANCE
- • REMITTANCE DATE
- • PROVIDER PHONE
- • PROVIDER NAME AND CREDENTIALS
- • PROVIDER NPI
- • PROVIDER ADDRESS
Educational information only
This page is general educational information, not legal, billing, or medical advice, and these letters are blank templates — you are the author of anything you send. Fill in your own details, review it, and confirm it fits your situation and your payer’s rules before sending. Always verify code meanings, benefits, and requirements directly with the payer and against your own records.
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