New York

Original Billing
Blog Articles
Aug 15, 2018
NY Workers' Comp Billing: How to Complete CMS 1500
Starting January 1, 2019, New York workers’ comp providers may submit original bills using the CMS 1500 form, rather than New York-specific forms C-4, C-4.2, OT/PT-4, PS-4, a...
New York Billing: CMS-1500 Field 19 (Additional Claim Information)
Aug 22, 2018
New York Billing: CMS-1500 Field 19 (Additional Claim Information)
New York State workers’ comp billing is in transition. Ultimately, the state will make a full, mandatory switch to e-billing. But before that, starting on January 1, 2019, pr...
NYS: Exceptions to Reporting Requirements
Dec 14, 2022
NYS: Exceptions to Reporting Requirements
New York State workers’ comp has specific billing and reporting requirements — but every rule has its exceptions.As explained in a previous article, the Workers’ Compe...
NY WCB Bulletin: Telehealth Bill Objections
Jul 19, 2023
NY WCB Bulletin: Telehealth Bill Objections
Heads up, New York State providers: the Workers’ Compensation Board (WCB) recently issued a bulletin clarifying when payers can (and cannot) object to a provider’s bill for t...
New York: 3 Key Narrative Report Requirements
Jul 13, 2022
New York: 3 Key Narrative Report Requirements
As of July 1, 2022, workers’ comp providers in New York State must bill claims administrators using the universal CMS-1500 billing form (preferably in electronic form, throug...
Downloadable NY Injured Worker Intake Form
Jul 30, 2019
Downloadable NY Injured Worker Intake Form
One of the best ways to make workers’ comp billing a little easier? Start with a bulletproof intake process. As New York State transitions to faster, more efficient el...
Electronic Billing
Compliance Dates Required By Law
Providers
  • 01/01/2019 – Optional
  • 01/01/2020 – Mandated
Claims Administrators
  • 01/01/2019 – Optional
  • 01/01/2020 – Mandated
Blog Articles
New York: How to Guarantee e-Bills Reach Payers
Oct 13, 2022
New York: How to Guarantee e-Bills Reach Payers
For New York State providers, electronic billing is the best way to make treating injured workers financially sustainable. But to e-bill successfully requires the provider’s ...
New York Workers’ Comp: Big Billing Changes Coming in 2019
Aug 7, 2018
New York Workers’ Comp: Big Billing Changes Coming in 2019
On April 17, 2018, the New York State Workers’ Compensation Board (WCB) announced its intention to improve medical care for injured workers. Board Bulletin Subject No. 046-10...
NYS How-To: Register for XML Submissions
Apr 25, 2022
NYS How-To: Register for XML Submissions
New York State’s much-needed transition to electronic billing marches on, but not without its growing pains.Namely, the NYS Workers’ Compensation Board (WCB) requires ...
American Claims Management Asserts NYS e-Billing 'Loophole'
Jun 30, 2022
American Claims Management Asserts NYS e-Billing 'Loophole'
As New York State makes the (praiseworthy) transition to electronic billing for workers’ comp, some confusion regarding the technical requirements is inevitable. Case ...
NYS: CMS-1500 & Electronic EORs Commence July 1
Jun 30, 2022
NYS: CMS-1500 & Electronic EORs Commence July 1
New York State is taking a major step forward in the transition to workers’ comp electronic billing. Commencing Friday, July 1, 2022, providers must submit all medical...
NYS e-Billing Guide: CMS-1500 & XML Submissions
Aug 4, 2022
NYS e-Billing Guide: CMS-1500 & XML Submissions
As of July 1, 2022 the New York State Workers’ Compensation Board (WCB) requires providers to use the CMS-1500 form to submit bills for the treatment of injured workers. Addi...
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Additional Resources
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