Keeping up current on any claim timely filing updates is crucial for your business!

Claims that are denied for timely filing can be rarely appealed and get paid. (Certain situations like COB/Natural disaster)

So, I always pay a close attention to any timely filling changes that are reported by the healthcare payers/plans.

Below please note the changes that took place for Self Funded (ASO) type of plans.

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• Aetna Better Health NJ: new bundled oncology condition specific prior auth
  If you are a NJ provider that accepts Aetna Better Health members and performs oncology services, then this blog post is for you! In May of 2026, Aetna Better Health announced that they will strengthened their relationship with NantHealth to offer new condition-specific bundled PA oncology requests; through Eviti. What is changing? The following imaging… Read more: Aetna Better Health NJ: new bundled oncology condition specific prior auth
• Aetna Better Health of  NJ: Out of network provider reimbursement update
  Are you and out of network provider that does accept Aetna BetterHealth NJ members, then this blog post is for you! What is changing? For more information please contact an Aetna Better Health of NJ provider relations representative. Will your practice be affected by this reimbursement change? Let me know in thw comments! Find this… Read more: Aetna Better Health of  NJ: Out of network provider reimbursement update
• Healthfirst PT/OT prior auth and coverage changes
  Are you a NY PT/OT provider that accepts Healthfirst Medicaid, EP, QHP and Medicare plan types in your office/facility? Then this blog post is for you! The new changes apply for any DOS 7/29/26 and thereafter. IMPORTANT! If you are an Out of network provider, please double check with Healthfirst if these new changes apply… Read more: Healthfirst PT/OT prior auth and coverage changes
• NYS Medicaid Prior authorization timeframe update- 1/1/27
  CMS released the new prior authorization timeline and NYS Medicaid was granted an extention on implementing the changes until 1/1/27. What will change? New timeframe: Expedited Prior Auth new timeframe: For electronic requests – providers are encouraged to enroll to ePACES and eMedNY eXchange. NYS DOH will amend the current 21 day prior auth timeframe-… Read more: NYS Medicaid Prior authorization timeframe update- 1/1/27
• FidelisCare Prior auth requests reminder
  If you are a provider that accepts Fidelis Care members in you office/facility, this blog post is for you! If you are requesting an auth that meets the expedited review criteria, then please use the Availity portal or fax 800-860-8720. For standard review prior authorization requests please use the Fidelis provider portal. If you need… Read more: FidelisCare Prior auth requests reminder