Late Bill Override Date (LBOD)

The Late Bill Override Date (LBOD) allows providers to document compliance with timely filing requirements when the initial timely filing period has expired. Colorado Medical Assistance Program providers have 120 days from the date of service to submit their claim.

Making false statements about timely filing compliance is a misrepresentation and falsification that, upon conviction, makes the individual who prepares the claim and the enrolled provider subject to a fine and imprisonment under state and/or federal law. 

Billing Instruction Detail  -  LBOD Completion Requirements 

Instructions 

•  Electronic claim formats provide specific fields for documenting the LBOD. 
• Supporting documentation must be kept on file for 6 years. 
• For paper claims, follow the instructions appropriate for the claim form you are using. 

1. UB-04: Occurrence code 53 and the date are required in FL 31-34. 
2. CMS-1500: Indicate “LBOD” and the date in box 19 – Remarks.

Billing Instruction Detail  -  Adjusting Paid Claims

Instructions 

If the initial timely filing period has expired and a previously submitted claim that was filed within the original Colorado Medical Assistance Program timely filing period or the allowed 60 day follow-up period was paid and now needs to be adjusted, resulting in additional payment to the provider

Adjust the claim within 60 days of the claim payment. Retain all documents that prove compliance with timely filing requirements. 

Note: There is no time limit for providers to adjust paid claims that would result in repayment to the Colorado Medical Assistance Program. 

LBOD = the run date of the Colorado Medical Assistance Program Provider Claim Report showing the payment.

Billing Instruction Detail  -  Denied Paper Claims

 Instructions 

If the initial timely filing period has expired and a previously submitted paper claim that was filed within the original Colorado Medical Assistance Program timely filing period or the allowed 60 day follow-up period was denied. 

Correct the claim errors and refile within 60 days of the claim denial or rejection. Retain all documents that prove compliance with timely filing requirements. 

LBOD = the run date of the Colorado Medical Assistance Program Provider Claim Report showing the denial.

Billing Instruction Detail  -  Returned Paper Claims

 Instructions 

An electronic claim that was previously entered within the original Colorado Medical Assistance Program timely filing period or the allowed 60 day follow-up period was rejected and information needed to submit the claim was not available to refile at the time of the rejection.

Correct claim errors and refile within 60 days of the rejection. Maintain a printed copy of the rejection notice that identifies the claim and date of rejection. 

LBOD = the date shown on the claim rejection report.

Billing Instruction Detail  -  Denied/Rejected Due to Member Eligibility

 Instructions 

An electronic eligibility verification response processed during the original Colorado Medical Assistance Program timely filing period states that the individual was not eligible but you were subsequently able to verify eligibility. Read also instructions for retroactive eligibility. 

File the claim within 60 days of the date of the rejected eligibility verification response. Retain a printed copy of the rejection notice that identifies the member and date of eligibility rejection. 

LBOD = the date shown on the eligibility rejection report.