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Submissions

06/12/2024

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Date (YYYY/MM/DD)Title
2024/06/12 - RevisedClaims Submission - Timely Filing
2023/08/10Corrected Claim Submission
2020/04/1529-I Health Facility Billing Guidance
2020/04/1529-I Health Facility Billing Tool
2020/12/04MRT Compliance C-Section/Early Delivery Billing Update
2020/10/30EmblemHealth Guide for Electronic Claims Submissions
2019/09/10Incorrect Electronic Remittance Notice (ERA) for Non-Contracted Providers  
2018/10/01Claims Submission Changes for Radiologists Treating ACPNY Members
2018/08/02Health Home Billing Guide
2017/08/03Do Not Balance Bill Dual-Eligible Members
2017/04/03Paper Claims and Patient Consent Forms Required for Hysterectomy and Sterilization Procedures for Medicaid Patients
2017/03/15The Right Contacts for Claims Submissions and Utilization Management
2016/11/23Submitting Claims with Gender/Procedure Conflict
2016/05/24Surprise Bills and Emergency Services Uniform Notice for Out of Network Providers
2016/02/02Submitting Claims for Non-Credentialed Practitioner in a Group Arrangement or for a Non-Credentialed Substitute Practitioner
2014/11/05Submit PQRS Codes to CMS Directly – Not to EmblemHealth
2013/06/12Keep Billing Information Current
2013/03/25Submit Claims with Accurate Pay To Information
2012/06/06Billing for Noncovered Services
2012/01/01Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing
2010/01/01Claim Tips for Paper Submissions
2009/09/11Maternity Claims: Adjusted Procedures (For EmblemHealth, GHI and HIP Benefit Plans)
2019/01/06Avoiding Duplicate Claims Submissions (For EmblemHealth, GHI and HIP Benefit Plans)