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New York City Employee PPO Claims Processing Issue

by Insurance Committee | Mar 27, 2026 | Commercial Insurance, EmblemHealth, Insurance Updates, Members Only, UHC

The New York City Employee (NYCE) PPO plan is a new product and a new partnership between EmblemHealth and UnitedHealthcare. The product launched on January 1, 2026. The NYSCA Insurance Committee identified a claim processing issue and has been working to resolve the...

Upcoming Change: National Government Services to Become Wellpoint Federal

by Insurance Committee | Mar 24, 2026 | Insurance Updates, Medicare/Medicaid, Public

On 4/1/2026 National Government Services will begin operating as Wellpoint Federal. While the name will change, structure, service level and operating model will remain the same, advancing the future of government healthcare as part of Elevance Health. Beginning...

Updated Medicare ABN Form Now Available

by Insurance Committee | Mar 16, 2026 | Insurance Updates, Medicare/Medicaid, Public

The Centers for Medicare & Medicaid Services (CMS) has recently updated the Advance Beneficiary Notice of Non-coverage (ABN), a form providers use to inform patients when Medicare may not cover a service. The new ABN form (CMS-R-131) was approved by the Office of...

BCBS Provider Settlement Update: Claim Notices Now Being Issued

by Insurance Committee | Feb 19, 2026 | Commercial Insurance, Insurance Updates, Members Only

Healthcare providers who submitted claims as part of the Blue Cross Blue Shield Provider Antitrust Settlement should be aware that the next phase of the process is now underway. The Settlement Claims Administrator has begun issuing claim notices to providers regarding...

New NGS Medicare Resource: Advance Beneficiary Notice Decision Tree

by Insurance Committee | Feb 10, 2026 | Insurance Updates, Medicare/Medicaid, Public

The NYSCA is pleased to share a newly released educational resource from NGS Medicare designed to support providers in navigating Advance Beneficiary Notice requirements with greater clarity and confidence. NGS Medicare has added the Advance Beneficiary...
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Recent Posts

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  • Important Workers’ Compensation / FCS Administrators UpdateMay 15, 2026
  • UnitedHealthcare Announces Prior Authorization Reform EffortsMay 13, 2026

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