Harvard Pilgrim has updated our commercial Replacement Claim Billing Policy to extend the timeframe for providers to submit a replacement claim. For claims received after Sept. 1, 2018, providers must submit a replacement claim within 90 days of the first date of the Explanation of Payment (EOP) of the original claim. Previously, the filing limit was 90 days from the date of service.
As a reminder, replacement claims are only accepted for individual claims and may be submitted electronically or on paper. For complete information, please refer to the updated Replacement Claim Billing Policy.