CommercialAdministrativeMedium impact
Corrected Claims in New York Must Be Filed Within 15 Months of Original Claim Finalization Date
Highmark·NY·Reimbursement
Effective date
Sep 1, 2026
We identified it
May 13, 2026
Summary
Effective September 1, 2026, all corrected claims in New York must be filed within 15 months (455 calendar days) of the original claim's finalization date. Corrected claims submitted after this timeframe will be denied for untimely filing.
Action Required
Before September 1, 2026: Billing teams in New York 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) approaching the 455-day deadline. Update staff training on the difference between claim receipt date and finalization date. Claims submitted after 455 days will be denied for untimely filing.