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:
UHC commercial plans- new allergy testing policy-9/1/26
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Aetna SGRT reimbursement update
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Anthem BCBS telehealth claims update -9/1/26
If you are a NY provider that accepts Anthem BCBS members in your practice and performs telehealth services, then this blog post is for you! Starting on 9/1/26 and for any DOS thereafter the telehealth claims will be subject to Excludes 1 (in ICD-10-CM) notes. In order to avoid any issues with claim payment please…
KR2 Medical Billing 
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