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:
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Fidelis: corrected claim submissions
Are you a NY provider that submitted a corrected claim and received a code 6U, then this blog post is for you! Submitting a corrected claim is something that providers are familiar with. However, let’s not forget that the process may vary between payers, including the timely filling frame. In the following blog post we…
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