Late filing appeal caused by provider
Has anyone dealt with a late/timely filing denial for an ER visit that was supposedly caused by provider billing issues?
I went to the ER in Florida in February 2024 while insured through BCBS California. I recently found out the claim was denied for timely filing because it was never properly processed until 2026. BCBS told me no valid claim appeared in their system until now and that earlier submissions may have been rejected or improperly routed.
The frustrating part is I had no idea there was even an issue until April 2026 when the hospital randomly called me out of the blue about this outstanding bill. I was never contacted by phone by the hospital for 2 years, despite having the same phone number the entire time!
I’m now working with BCBS on an appeal/timely filing exception, but I’m honestly stressed out because this was emergency care and I feel like I’m stuck in the middle of a provider billing problem that I had no control over.
Has anyone been through something similar or had success getting a timely filing denial overturned? This is the hospitals fault for not filing it correctly until 2 years later. How is this my fault?