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:
NY providers: 1% reduction in payments
Are you a NY provider that accepts NYS Medicaid, Managed Medicaid Plans, HARP and see a reduction your payments as far as for DOS 4/1/26? Then this blog post is for you! Background: In 2022-2023 NYS Medicaid Budget a 1% of ATB medicaid increase was enacted for all non Exempt Providers. Update: However for 2024-2025…
Fidelis: infusion services for Essential plans update
Are you a NY provider that has Fidelis members with Essential Plan that require infusion services? Then this blog post is for you! Starting for any DOS 8/1/26 and thereafter, Fidelis will review infusion services for site of care and will request the provider to transition the member from OUTPATIENT HOSPITAL SETTING (POS 22/19) to…
Aetna: Dental code- D0150
If you are a dental provider that accepts Aetna members in your office/facility then this blog post is for you! The code: Billing: Find this information useful? Follow my blog for more!
KR2 Medical Billing 
Leave a comment