![]() Participating practitioners may not bill the patient for services that EmblemHealth has denied because of late submission.įor more information, see Claims | EmblemHealth (Chapter 30, under Timely Submission) and Claims Submission - Timely Filing | EmblemHealth. ![]() Reimbursement may be reduced by up to 25% for timely filing claims denials that are overturned upon successful appeal. Providers who wish to appeal a claim denied for late submission should follow the provider grievance process in the Provider Manual Dispute Resolution chapters for the applicable line of business:
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