Insurance Committee - New York State Chiropractic Association

NYS Workers’ Compensation Board Updates Form C-4.3

by Insurance Committee | Aug 22, 2025 | Insurance Updates, Members Only, Workers' Compensation

Today the NYS Workers’ Compensation Board released an updated version of the C-4.3 permanent impairment form. Since all providers are now required to bill electronically, the billing section of the Form has been removed. If your patient has achieved Maximum...

Urgent action needed for August 1 CMS-1500 electronic submission mandate

by Insurance Committee | Jul 16, 2025 | Insurance Updates, Public, Workers' Compensation

The Workers’ Compensation Board (Board) is requiring health care providers to submit the CMS-1500 universal billing form electronically, through a Board-approved electronic submission partner, effective August 1, 2025. Starting that date, the workers’ compensation...

BCBS Settlement Deadline Approaching

by Insurance Committee | Jul 3, 2025 | Commercial Insurance, Insurance Updates, Members Only

As previously reported by the NYSCA Insurance Committee (The NIC), the deadline to submit a claim for the $2.8 billion BCBS settlement is July 29, 2025. If you provided services to BCBS patients between July 24, 2008 and October 4, 2024, you may be eligible to submit...

UHC Medicare Advantage: Request for Redacted Denials

by Insurance Committee | Jul 2, 2025 | Insurance Updates, Medicare Advantage, Members Only, UHC

Have you received a UHC Medicare Advantage claim denial indicating ‘precertification/ authorization/ notification absent’ for cases where clinical submission was not required? Did you follow the correct process? If so, we...

Update to NYS Workers’ Compensation Electronic Submission

by Insurance Committee | Jul 1, 2025 | Insurance Updates, Members Only, Workers' Compensation

Providers must sign up with a NYS WCB approved clearinghouse for services rendered on and after August 1, 2025. To facilitate the process, the WCB has removed the necessity to obtain approval from the Board to submit electronically (effective 7/28/25). For...