Legacy THC providers must wrap up claims, appeals by Dec. 31, 2022
As our merger with Total Health Care (THC) is complete, THC will officially cease operations on Dec. 31, 2022. Legacy THC providers must wrap up any outstanding claims and appeals as outlined below.
What does this mean?
After December 31, THC will no longer adjudicate claims or consider appeals. Access to claims review, claims lookup and old copies of EOPs will be unavailable and the THC website will be disabled.
Important claims and appeals dates
Keep the following dates in mind to ensure your THC claims and appeals are wrapped up in time:
Claims
- Commercial: Initial claims are no longer accepted. The last eligible filing date was June 30, 2022. Corrected claims must be received within 180 days of original adjudication date.
- Medicaid: File initial claims within 12 months from the date of service. The last date initial claims are eligible for initial filing is Sept. 30, 2022. Corrected claims must be received within 180 days of original adjudication date.
Appeals
- Commercial: File within 6 months from the initial claim adjudication
- Medicaid: File within 12 months from the initial claim adjudication