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Submissions

01/02/2020

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Date (YYYY/MM/DD) Title
2023/08/10 Corrected Claim Submission
2021/06/20 Claims Submission - Timely Filing
2020/04/15 29-I Health Facility Billing Guidance
2020/04/15 29-I Health Facility Billing Tool
2020/12/04 MRT Compliance C-Section/Early Delivery Billing Update
2020/10/30 EmblemHealth Guide for Electronic Claims Submissions
2020/10/22 Claims Submission and Utilization Management for SOMOS Community Care
2019/09/10 Incorrect Electronic Remittance Notice (ERA) for Non-Contracted Providers  
2018/10/01 Claims Submission Changes for Radiologists Treating ACPNY Members
2018/08/02 Health Home Billing Guide
2017/08/03 Do Not Balance Bill Dual-Eligible Members
2017/04/03 Paper Claims and Patient Consent Forms Required for Hysterectomy and Sterilization Procedures for Medicaid Patients
2017/03/15 The Right Contacts for Claims Submissions and Utilization Management
2016/11/23 Submitting Claims with Gender/Procedure Conflict
2016/05/24 Surprise Bills and Emergency Services Uniform Notice for Out of Network Providers
2016/02/02 Submitting Claims for Non-Credentialed Practitioner in a Group Arrangement or for a Non-Credentialed Substitute Practitioner
2014/11/05 Submit PQRS Codes to CMS Directly – Not to EmblemHealth
2013/06/12 Keep Billing Information Current
2013/03/25 Submit Claims with Accurate Pay To Information
2012/06/06 Billing for Noncovered Services
2012/01/01 Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing
2010/01/01 Claim Tips for Paper Submissions
2009/09/11 Maternity Claims: Adjusted Procedures (For EmblemHealth, GHI and HIP Benefit Plans)
2019/01/06 Avoiding Duplicate Claims Submissions (For EmblemHealth, GHI and HIP Benefit Plans)

ALSO OF INTEREST

Chapter 30: Claims Claims Submission - Timely Filing Table 21-11, Appeal - Standard
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Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.