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 MO community provider appt availability
If you are a provider located in Missouri and accepts UHC Community Health members then make sure your office is compliant and adheres to the following appointment availability standards. Allowable patient wait times (in office)- 1 hour from the scheduled appt time. Providers also have to have after hour coverage- acceptable are the following: Not…
Healthfirst Lab Prior auth updated list
If you are a labolatory that accepts Healthfirst members, then this blog post is for you! For any DOS 4/1/26 and thereafter the following codes will require a prior auth: Find this type of content useful? Follow my blog for more!
Aetna: Pre-auth requirenments changes
The following changes/updates apply to Medicare and Commercial plan types only. Medicare and Medicaid DME: for any DOS beginning 7/1/25 and thereafter the following codes will no longer require prior auth: Medicare and Commercial Dental pre-auth changes: the following codes will no longer require an auth- For Medicare only- no longer requires prior auth: Find…
KR2 Medical Billing 
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