CommercialAdministrativeMedium impact
Timely Filing Requirements (Retired)
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth has issued a reminder about existing timely filing requirements for claims submissions. Participating providers must submit claims within 120 days post-service date, while non-participating providers have longer timeframes varying by plan type (18 months for commercial, 15 months for Medicaid, 365 days for Medicare).
Action Required
Immediately: Review current claims submission workflows to ensure compliance with EmblemHealth timely filing deadlines. Participating providers must verify all claims are submitted within 120 days of service date. Non-participating providers should confirm submission within plan-specific timeframes. Billing team should audit any pending claims approaching deadlines and establish tracking system to prevent late submissions that could result in 25% reimbursement reductions.