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

Effective Sept. 1, 2026, all corrected claim submissions must be received within 15 months (455 calendar days) from the finalization date of the original claim. Corrected claim submissions are identified as bill type ending in 5 or 7 on facility claims or frequency code 5 or 7 on professional claims.

Corrected claims that are submitted after 455 days will be denied for not adhering to timely filing. This policy update applies to corrected claims for our Commercial, Medicare Advantage, and Federal EmployeeProgram (FEP) lines of business.

Note: This administrative change excludes corrected claims for BlueCard Home.    

Finalization Date

The “receipt date” is the date the original claim was received by Highmark. The “finalization” date is the date Highmark completes processing of that claim.

The Highmark Provider Manual's 6.1 Timely Filing Requirements will be updated effective Sept. 1, 2026, to reflect this change.

This article was initially published on May 13, 2026, but was updated to reflect that administrative change now applies to FEP corrected claims.