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Submissions

06/12/2024

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Date (YYYY/MM/DD) Title
2024/06/12 - Revised Claims Submission - Timely Filing
2023/08/10 Corrected Claim Submission
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)