Here are some behaviors patients exhibit that suggest misuse: –Consulting physicians from multiple practices for prescriptions. –Calling their physician’s office to be seen without an appointment — “The pain is much worse”. –Frequently calling the physician’s office for early refills. –Requesting an extra prescription, reporting the first one was lost or stolen. –Frequent emergency room…

This varies from insurer to insurer. Some insurers require claims to be filed very soon after services – 90 days is often a rule among private insurers.  Building positive relationships with your payers and by understanding their claims submission rules you will avoid having claims denied because of late submission or not meeting “Timely filing”.