Healthfirst (New York) Timely Filing Limit

Manual review required. Do not use unconfirmed instructions to submit a request or claim.

• Missing claim filing limit details.

Coverage: Healthfirst New York provider manual; not Health First Health Plans in Florida. Verify the member’s New York product and participating agreement.

Healthfirst (New York) filing limits depend on the plan, provider agreement, and event that starts the filing period. Confirm each item in the official provider resources before submission.

At a glance

• The provider agreement controls filing; the manual’s 30-day recommendation is not a universal hard limit.

Initial claim filing limits

• Not clearly published in the researched sources.

Corrected claim filing limits

• Not clearly published in the researched sources.

Appeal and reconsideration deadlines

• Provider claim review/reconsideration: 90 calendar days from the paid date on the provider Explanation of Payment.

Trigger basis and caveats

• The manual recommends submission within 30 days of service. This record does not turn that recommendation into a mandatory deadline.
• Do not infer a general 180-day period from an individual denial-code description. Verify product exceptions and the signed agreement.
• Use the filing period in the applicable provider agreement.
• Corrected claims and rejected-claim resubmissions follow the applicable new-claim filing period.

Provider resources

• Official claims and billing (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Reviewed the official Healthfirst New York manual and provider claims resources. Kept this payer distinct from Health First Florida.
• Excluded changes effective November 30 or December 1, 2026. Contract-specific limits and login-only transaction details remain provider checks.