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CO-29 Recoverability: Medium

The time limit for filing has expired

The claim arrived after the payer's filing deadline, which on dental plans commonly ranges from 90 days to one year from the date of service.

Why this happens on dental claims

  • Claims stuck in clearinghouse rejection queues that nobody worked, discovered months later
  • Secondary claims filed late because the primary explanation of benefits took months to arrive
  • Coordination of benefits and eligibility fixes that consumed the filing window before a clean claim ever reached the payer

How to appeal CO-29

  1. Pull proof of timely original submission: clearinghouse acceptance reports, 277CA acknowledgments, or certified mail records
  2. Appeal with that proof; timely filing denials are routinely overturned when the original submission date is documented
  3. For secondary claims, cite the primary adjudication date and the plan rule that measures the window from it
  4. If no proof exists, check whether the plan allows good-cause exceptions and document what happened honestly
  5. Fix the workflow gap that let the claim age out, or the same denial will recur
Generate a CO-29 appeal letter

How to prevent it

  • Work clearinghouse rejections daily, because a rejected claim was never received and the filing clock keeps running
  • Track secondary filing deadlines from the primary remittance date in your PMS

Related codes

How much CO-29 money is sitting in your remittances?

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