If a medical claim sent to Inovalon has been rejected due to Timely Filing limits, you can create an appeal letter directly within the Claims Management Pro portal. These steps will apply for both Institutional and Professional claims.
First, you’ll want to navigate to the Claims Menu and select either Institutional or Professional, and locate the claim(s) you wish to create appeal letters for. Once you have located these claims, you’ll select them by checking the checkbox on the leftmost column.
With those claims checked, you’ll click on the “More Options” button at the top of the Claims table and select “Create Appeals”.
In the resulting window, you’ll be able to choose the type of appeal letter you’d like to create. There are three “Timely Filing” options available, for Date of Service, Primary Denial Date, or a more generic appeal letter.
