Corrected Claims in New York Must Be Filed Within 15 Months of Original Claim Finalization Date
- WNY
- NENY
Wed, May 13, 2026
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 excludes corrected claims for BlueCard Home and Federal Employee Program (FEP).
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.
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