Submissions

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Date Issued

Title

2/28/2019Claims Submission - Timely Filing

10/1/2018Claims Submission Changes for Radiologists Treating ACPNY Members

8/2/2018Health Home Billing Guide

8/3/2017Do Not Balance Bill Dual-Eligible Members

7/17/2017New Claims Submission Address for Behavioral Health

6/7/2017Trizetto: Our Preferred Electronic Data Interchange (EDI) Source

4/27/2017Take Advantage of EmblemHealth's No Cost EFT-ERA Program

4/3/2017Paper Claims and Patient Consent Forms Required for Hysterectomy and Sterilization Procedures for Medicaid Patients

3/15/2017The Right Contacts for Claims Submissions and Utilization Management

11/23/2016Submitting Claims with Gender/Procedure Conflict

5/24/2016Submitting Claims for Non-Credentialed Practitioner in a Group Arrangement or for a Non-Credentialed Substitute Practitioner

12/16/2015Submitting Corrected Paper Claims

8/25/2015Now Available: Electronic Commercial Coordination of Benefits – Electronic Claims Transactions

5/22/2015EDI Transactions: What to Know to Make Them Work for You (Revised May 19, 2015)

1/26/2015Submitting Claims for Substitute Physicians

11/5/2014Submit PQRS Codes to CMS Directly – Not to EmblemHealth

6/12/2013Keep Billing Information Current

3/25/2013Submit Claims with Accurate Pay To Information

7/17/2012Submitting Electronic Claims With Member ID Numbers

6/19/2012EmblemHealth Consolidates Post Office Boxes for GHI HMO and EmblemHealth Medicare PPO

6/6/2012Billing for Noncovered Services

1/18/2012Submit Claims to New HealthCare Partners Address

1/1/2012Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing

10/1/2010How to Submit Medicare PPO Claims

1/1/2010Claim Tips

1/1/2010Claim Tips for Paper Submissions

1/1/2010Corrections to H 90 Pended Reports via Q Care to Be Made Within 10 Days

9/11/2009Maternity Claims: Adjusted Procedures (For EmblemHealth, GHI and HIP Benefit Plans)

1/6/2009Avoiding Duplicate Claims Submissions (For EmblemHealth, GHI and HIP Benefit Plans)

1/1/2009Important Reminder: Referrals Required for Specialist Claims

1/1/2009Submitting Corrected Claims