Posted in Insurance, Training, Updates

Empire BCBS of New York (commercial plans) Timely filling changes- 2020

Effective April 1st 2020 all claims (commercial plans) will be subject to 120 days timely filling requirement.

Things to consider:

1. This applies towards the dates of service rendered before 4/1/2020 AND for dates of service on or after 4/1/2020.

2. This applies to any claim submitted to Empire on 4/1/2020.

Example if patient was seen on 12/30/2019 and your office submits the claim on 4/1/2020 then claim will be denied for timely filling.

In network providers should receive an amendment to the provider agreement (effective date 4/1/2020)

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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