The claim wasn't received within thirty days of the date of service".

[tufguy]

We say "The claim wasn't received within thirty days of the date of service".

This means if the date of service was April 1ST the claim wasn't received by the next thirty days. It wasn't received until the next thirty days. It was received after the next thirty days. Am I correct?

If my above sentences are correct then what do we need to say if the situation is other way around. Like "There is "some information that had to be received within thirty days before the date of service".


Please check my sentences and answer the question.

 

[Rover_KE]

We say "The claim wasn't received within thirty days of the date of service".

'We say ...' Who says? I don't. Do you mean 'An insurance company representative says ...'?

If the date of service was April 1st, your claim should have been received by May 1st.

The rest of your post was giving me a headache.:-(

No offence.

 

[Tdol]

Add thirty to the date of service. It didn't arrive in that period. It arrived after it.

 

[tufguy]

Add thirty to the date of service. It didn't arrive in that period. It arrived after it.

But what is the way to say "It wasn't received within the time span of thirty days before the date of service"?

 

[Tdol]

It didn't arrive within the thirty-day limit.

 

[tufguy]

It didn't arrive within the thirty-day limit.

It didn't arrive within the thirty-day limit before the date of service.

It didn't arrive within the thirty-day limit after the date of service.

Are these correct?

 

[Tdol]

As they mean the opposite of each other, only one could be right. Where does the date of service come- at the start or the end?

 

[tufguy]

As they mean the opposite of each other, only one could be right. Where does the date of service come- at the start or the end?

Sorry, I don't understand.

 

[tedmc]

What do you mean by the "date of service"? Service of claim? Or is it the date of posting of the claim? What do you mean by "claim" anyway?

My understanding of legal procedures is that a claim is only deemed served the moment it is received with acknowledgement. Sending out the claim (by post or courier) is another matter. And why is that the claim takes one month to reach? Does it take so long for it to be delivered? It is confusing.

Make up your mind whether the date of receipt of claim is before or after the date of service (your post No.6).

 

[tufguy]

What do you mean by the "date of service"? Service of claim? Or is it the date of posting of the claim? What do you mean by "claim" anyway?

My understanding of legal procedures is that a claim is only deemed served the moment it is received with acknowledgement. Sending out the claim (by post or courier) is another matter. And why is that the claim takes one month to reach? Does it take so long for it to be delivered? It is confusing.

Make up your mind whether the date of receipt of claim is before or after the date of service (your post No.6).

Date of service means the date on which the patient is treated. Sometimes claims don't reach the insurance company despite being filed in time. A lot of claims get adjusted every year because of not being received on time.

Date of receipt of claim is different. It is the date on which it is received by the insurance company.

Is it correct to say "The medical records to support the medical services were not received within thirty days before the denial date"?

Does it mean "For example 'The denial date is June 1ST and the documents were not received within the time span of thirty days before the June 1ST'"?

 

[tedmc]

Date of service means the date on which the patient is treated. Sometimes claims don't reach the insurance company despite being filed in time. A lot of claims get adjusted every year because of not being received on time.

Date of receipt of claim is different. It is the date on which it is received by the insurance company.

Is it correct to say "The medical records to support the medical services were not received within thirty days before the denial date"?

Does it mean "For example 'The denial date is June 1ST and the documents were not received within the time span of thirty days before the June 1ST'"?

Your terms were misleading.

So, the date of service is the date of receiving medical treatment (of the accident victim). A claim for medical expenses is then sent within a month to the insurance company for payment. Claims received late by the insurance company is denied payment.

You can say that the medical insurance claim is to reach the insurance company within one month from the date of receiving medical treatment, failing which the claim will be denied (not be paid).

 

[emsr2d2]

Your terms were misleading.

So, the date of service is the date of receiving medical treatment (of the accident victim). A claim for medical expenses is then sent within a month to the insurance company for payment. Claims received late by the insurance company [STRIKE]is[/STRIKE] are denied. [STRIKE]payment.[/STRIKE]

You can say that the medical insurance claim is to reach the insurance company within one month [STRIKE]from[/STRIKE] of the date of receiving medical treatment, failing which the claim will be denied (not be paid).

"Date of service" is definitely misleading.

 

[tufguy]

"Date of service" is definitely misleading.

Is it correct to say "Documents should be received within thirty days before the date of service"?

 

[tedmc]

Is it correct to say "Documents should be received within thirty days before the date of service"?

As emsd2r2 pointed out, you either delete within or change before to of.

Do you still want to use date of service?

 

[emsr2d2]

Is it correct to say "Documents should be received within thirty days before the date of service"?

I don't see how that's possible. How can you file a claim for treatment thirty days before the treatment starts?

It doesn't help that we don't understand the sequence of events. This is how I think it works:

January 1st - Person receives medical treatment
January 31st - Person must submit their claim by this date or it will be denied.
January 2nd - January 31st - Person submits their claim on any of those dates. Claim is processed.
February 1st (or later) - Person submits their claim. It is denied because it is too late.

Is that correct?

 

[tufguy]

I don't see how that's possible. How can you file a claim for treatment thirty days before the treatment starts?

It doesn't help that we don't understand the sequence of events. This is how I think it works:

January 1st - Person receives medical treatment
January 31st - Person must submit their claim by this date or it will be denied.
January 2nd - January 31st - Person submits their claim on any of those dates. Claim is processed.
February 1st (or later) - Person submits their claim. It is denied because it is too late.

Is that correct?

Yes but I just wanted to know whether "It should have been received within thirty days before the DOS " is a correct sentence or not? Can we say "Within thirty days before a particular day" for anything not only for a claim?

 

[emsr2d2]

For the umpteenth time, tufguy, NO! You can't say "within xxx days BEFORE xxx". It makes no sense. You have to say "within xxx days OF xxx". The claim has to be submitted within thirty days of the date of service (the date of service of the medical treatment). Do you understand that "of" there means "from"?

The claim can be submitted up to thirty days after the medical treatment.

 

[tufguy]

For the umpteenth time, tufguy, NO! You can't say "within xxx days BEFORE xxx". It makes no sense. You have to say "within xxx days OF xxx". The claim has to be submitted within thirty days of the date of service (the date of service of the medical treatment). Do you understand that "of" there means "from"?

The claim can be submitted up to thirty days after the medical treatment.

The claim has to be submitted within thirty days of the date of service.

Doesn't it mean within thirty days from the date of service?

 

[GoesStation]

The claim has to be submitted within thirty days of the date of service.:tick:

Doesn't it mean within thirty days from the date of service?

Your second sentence doesn't make sense. "From" doesn't go with "within".

Thread closed.

 

[Tdol]

Is it correct to say "Documents should be received within thirty days before the date of service"?

It is so weird it makes my brain want to explode.