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Updated: Corrected Claims Must Be Filed Within 15 Months of Original Claim Finalization Date
Highmark·PA, DE, WV, NY·Reimbursement
Effective date
Sep 1, 2026
We identified it
May 21, 2026
Summary
Highmark has updated their policy requiring all corrected claims to be filed within 15 months (455 calendar days) of the original claim's finalization date, effective September 1, 2026. Corrected claims submitted after this timeframe will be denied for failing to meet timely filing requirements.
Action Required
Before September 1, 2026: Billing team must update claim tracking systems to monitor corrected claim submission deadlines based on original claim finalization dates (not receipt dates). Implement alerts for corrected claims (bill types ending in 5 or 7 for facilities, frequency codes 5 or 7 for professional claims) to ensure submission within 455 days of finalization. Update staff training on the difference between receipt date and finalization date. Failure to submit corrected claims within this timeframe will result in denials for untimely filing.