Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
HighmarkAll Plans · Administrative · Reimbursement · PA, DE, WV, NYHigh impact

Updated: Corrected Claims Must Be Filed Within 15 Months of Original Claim Finalization Date

Effective date
Sep 1, 2026
Identified
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.

Get alerts when payers change rules like this one

We check Highmark and other payers every day and email you when a change matches your specialty and state.

Get Highmark alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Before 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).
02Implement 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.
03Update staff training on the difference between receipt date and finalization date.
If missed: Failure to submit corrected claims within this timeframe will result in denials for untimely filing.

Original notice

Updated: Corrected Claims Must Be Filed Within 15 Months of Original Claim Finalization Date
providers.highmark.com · Always check the source before changing claims.
View original ↗

Related changes

See all Highmark changes →
Claim Adjustment Requests Must Be Filed Within 15 Months of Original Claim Finalization DateHighEffective Dec 1, 2026 · ReimbursementBrowse every Highmark change in the policy list

Related policy hubs

Highmark policiesPA policy changesDE policy changesWV policy changesNY policy changes

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account