Do you bill no-fault and workers’ compensation in New York?

Yes, as separate categories with their own forms, fee schedules and deadlines. They are not worked in the same queue as commercial claims because they do not behave like commercial claims.

Do you handle NY Medicaid through eMedNY?

Yes, both fee-for-service through eMedNY and the Medicaid managed care plans, enrolled and billed separately.

We are a behavioral health practice in New York. Is that in scope?

Yes. Behavioral health has its own authorization and documentation expectations, and its denials do not look like a surgical practice’s. It is billed with those rules rather than generic ones.

Can you start with just our aged A/R?

Yes. That is a common way to start here, particularly where no-fault and workers’ compensation balances have been sitting untouched.

New York

Medical billing for New York practices

New York carries two payer types most states handle as an afterthought: no-fault motor vehicle coverage and workers’ compensation, both with their own forms, fee schedules and deadlines. A practice seeing either and billing it like commercial insurance loses the money on process, not on merit.

No-fault and workers’ compensation

Both run on their own fee schedules and their own paperwork, and both have filing deadlines that are shorter and less forgiving than commercial timelines. Verification requests and independent medical examinations are part of the process rather than exceptions. These claims are worked as their own category with their own follow-up clock, because folding them into a commercial A/R queue is how they age past the point of recovery.

eMedNY and managed care, separately

Fee-for-service New York Medicaid and the Medicaid managed care plans are different submissions with different rules. Enrollment is tracked for both, along with revalidation dates, so a lapse surfaces as a calendar item rather than as a month of unpaid claims.

Downstate and upstate are different markets

The plan mix a practice in New York City deals with is not the plan mix in Buffalo, Rochester or Albany. Payer contracts, managed care plans and regional Blues differ, so we confirm the actual payer set for the practice rather than applying a statewide template.

New York Medicaid

New York Medicaid claims run through eMedNY for fee-for-service, while most members are enrolled in a managed care plan with its own submission rules. Downstate and upstate practices typically face different plan mixes.

Program: New York Medicaid
Administered by: eMedNY
Managed care: New York Medicaid Managed Care

Payers we work in New York

UnitedHealthcare
Aetna
Cigna
EmblemHealth
MVP Health Care
New York Medicaid managed care plans

Not an exhaustive list, and not a claim of network participation on your behalf — your contracts are yours. It is the payer mix we are set up to work in New York.

Services available to New York practices

Billing in New York — common questions

Do you bill no-fault and workers’ compensation in New York?: Yes, as separate categories with their own forms, fee schedules and deadlines. They are not worked in the same queue as commercial claims because they do not behave like commercial claims.
Do you handle NY Medicaid through eMedNY?: Yes, both fee-for-service through eMedNY and the Medicaid managed care plans, enrolled and billed separately.
We are a behavioral health practice in New York. Is that in scope?: Yes. Behavioral health has its own authorization and documentation expectations, and its denials do not look like a surgical practice’s. It is billed with those rules rather than generic ones.
Can you start with just our aged A/R?: Yes. That is a common way to start here, particularly where no-fault and workers’ compensation balances have been sitting untouched.

Everywhere else

All billing services

Next step

Start with the free A/R review.

Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.

Book the A/R review See pricing