Extend Time for Good Cause

Revision 420 extends the 1 year limit under §1848(g)(4), of the Social Security Act, claim filing provision if “good cause” is shown. If an assigned claim is filed more than one year after the date of service, but within the time limits specified in §70.8.6, Chapter 1, of the carrier, and if the carrier determines that good cause exists, they will treat it as a timely-filed claim for payment and compliance monitoring purposes and waive the 10 percent payment reduction for that service. The time limit for filing may not be extended beyond the time limits specified in §70.8.6, chapter 1, of the manual, unless administrative error is applicable. If an assigned service is filed after the time limits specified in §70.8.6, chapter 1, of the manual, the 10 percent payment reduction will be waived only for administrative error.