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:
MA Common Wealth Alliance: new prior auth req BH services
If you are a BH provider that accepts Senior Care Options and One Care Behavioral Health members? Then the following blog post is for you! What is changing? Which services are subject to this change? Submitting a notification: Submitting a prior auth: Successful process Find this information useful? Follow my blog foe more!
Healthfirst: prior auth for codes 10/1/26
If you are a NY provider that accepts Healthfirst members, then the blog post is for you! Starting 10/1/26 there will be new codes that will become effective and will require and auth. Codes that will require an auth through Healthfirst firecty: The codes that will be managed by EviCore: Please remember that patient benefits…
Aetna: CA HMO provider disputes submission changes
Announcement- if you are a provider that sees California Aetna HMO plan; then effective immediately you should not submit the provider dispute through Availity portal and instead please mail the to folliwing address: P.O. Box 14020Lexington, KY 40512 As per Aetna- Fresno office is closed. Find this information useful? Follow my blog for more! #denialmanagement…
KR2 Medical Billing 
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