Partners Tailored Plan: claims dispute timely filling update

Partners Tailored Plan provides a variety of services: mental health, Behavioral Health etc, and it has partnered with Carolina Complete Health to assist physical health providers in Tailored Plan.


What is changing?

  • Claim dispute timely filling for INN and OON providers  effective DOS 4/1/26 and there after

New claim dispute timely filling:

  • INN providers- 90 days from the date of the EOP, ERA
  • OON providers-60 days from the date of EOP/ERA
  • This change overrides previous timeline of 365 days- when claims were processed by Carolina Complete Health.

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