In Idaho, providers must submit compliant bills to payors within 120 days from the service date.

Providers who fail to meet this deadline lose the right to use the Commission's dispute resolution procedures for that service.

Timely Filing Rules - 120 Days

IDAPA 17.01.01.803.06 - Billing and Payment Requirements for Medical Services and Procedures Preliminary to Dispute Resolution

b. Provider to Furnish Information.

A Provider, when submitting a bill to a Payor, shall inform the Payor of the nature and extent of medical services furnished and for which the bill is submitted.

This information shall include, but is not limited to, the patient's name, the employer's name, the date the medical service was provided, the diagnosis, if any, and the amount of the charge or charges.

Failure to submit a bill complying with this Paragraph 06.b to the Payor within one hundred twenty (120) days of the date of service will result in the ineligibility of the Provider to utilize the dispute resolution procedures of the Commission set out in Paragraph 803.06.i. of this rule for that service.

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