What happens if timely filing is missed?

• A. The claim is automatically resubmitted
• B. Late submission may result in denial or reduced reimbursement
• C. The claim is converted to a paper form
• D. The provider is required to pay a fine

Answer: (B)

Timely filing is the deadline set by the payer by which a claim must be submitted to be eligible for payment. If that deadline is missed, the claim is typically denied or reimbursed at a reduced amount because the processing window has closed. This reflects the payer’s standard policy to limit payment for late submissions. Automatic resubmission doesn’t occur to fix a missed deadline, and converting a claim to paper or imposing a fine on the provider aren’t the usual outcomes. The key idea is that missing the filing window usually leads to denial or reduced reimbursement, not automatic fixes or penalties.