According to EmblemHealth-for self funded plans: Local 389 Health and Welfare fund- for the DOS 9/1/23 and thereafter have a new timely filling date for submitting claims. The new date is 90 days after the services were rendered.
This new time frame applies to In network and Out of Network providers.
Types of claims: professional, facility and other provider types
Please note that this change DOES NOT APPLY to the other ASOs (Administrative Service Organizations).
The following is still in affect:
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Previous Blog Posts:
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Are you a provider that bills for crutches or canes then this blog post is for you! For single item: Effective DOS 10/1/25 and thereafter the providers will only reimburse 1 cane or a crutch per patient/per day. Unless there is prior authorization with a justification given in advance. For multiple crutches: No multiple crutches…
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There is an update to how the NYS Medicaid Pharmacy program will reimburse the pharmacies for vaccines that are billed by the NDC#. This change does not apply to the vaccines administered under Vaccines for children program. Proper Billing: for any vaccines that are billed by the NDC One claim should be submitted with a…
KR2 Medical Billing 
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