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:
Find this blog post useful? Then follow my blog for more medical billing and coding guideline updates and changes.
In a meantime check out my other blog posts:
Previous Blog Posts:
Healthfirst claim processing changes
Are you a NY provider that accepts Healthfirs patients in you office/group? Then this blog post is for you! Prevent your claims from being rejected and affect your revenue! The following change will take effect for DOS 12/1/26 ans thereafter. What is changing? Healthfirst will require the claims to be submitted with provider TIN# and…
Healthfirst NY: prior auth updates
Effective 11/1/2026 certain codes will have updated prior auth criteria and process. If you are a NY provider that accepts HealthFirst members in your practice/facility? Then this blog post is for you! What is changing? The following codes will require authorization through a specific vendor Ensure you contact the proper vendor to request a prior…
UHC Community Health plan: NJ-prior auth changes
If you are a NJ provider and accepting UHC NJ Community Plan members? Then this blog post is for you! What is changing? More codes will not require and authorization effective DOS 12/1/26 and thereafter Affected Codes: Find this information useful? Follow my blog for more!
Leave a Reply