Posted in In The Know Series, Insurance, Training, Updates

NY State Empire Plan-Announcement-claim submission time frames deadline-2020

*Please do not forget that UnitedHealthCare is the administrator for this plan and processes the claims for its members.*

Therefore the providers need to adhere to the following timely claim filing frames:

+No later than 120 days from the end of the calendar year in which the services were rendered (initial claim submission)


+Within 120 days after Medicare or another insurance plan process the claim (secondary claims), whichever is later.

+Empire Claims (for 2019 services) need to be submitted to UHC for processing by April 29,2020


If the claim is denied due to late submission, the participating provider or health care professional may NOT bill the patient for the charges on that claim!



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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