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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• UHC Community Plan TN: new Diabetes testing frequency
  If you are a TN provider that accepts UHC TN Community Plan in your office; and orders or performs a diabetes testing for the patients? Then this blog post is for you! What is changing? Do you need to read the full policy? Click here Find this information useful? Follow my blog for more! Need… Read more: UHC Community Plan TN: new Diabetes testing frequency
• Proper billing for PCA or CDPAS services: Healthfirst
  If you are a NY agency that provides PCA and/or CPAS services to 2 or more members in the same household, then this blog post is for you! What are shared services? Services that are provided for 1 or more member that reside in the same residence and receive PCS/CDPAP services at the same time.… Read more: Proper billing for PCA or CDPAS services: Healthfirst
• UHC commercial plans- new allergy testing policy-9/1/26
  If you are an allergist that accepts UHC commercial plans in your office/facility? Then this blog post is for you! What is new? What will not be considered for reimbursement? The new reimbursement policy will go into the effect for any DOS on 9/1/26 and thereafter except the following states: AR, CO, KY, NC, NE,… Read more: UHC commercial plans- new allergy testing policy-9/1/26
• Aetna SGRT reimbursement update
  If you are a provider that accepts Aetna members in your office? Then this blog post is for you! For any DOS 11/1/26 and there after Aetna will reimburse only quantity 1 for SGRT whole course of treatment – no matter how many treatment sessions were done. The affected plans: What does your office need… Read more: Aetna SGRT reimbursement update
• Anthem BCBS telehealth claims update -9/1/26
  If you are a NY provider that accepts Anthem BCBS members in your practice and performs telehealth services, then this blog post is for you! Starting on 9/1/26 and for any DOS thereafter the telehealth claims will be subject to Excludes 1 (in ICD-10-CM) notes. In order to avoid any issues with claim payment please… Read more: Anthem BCBS telehealth claims update -9/1/26