Insurance Updates - New York State Chiropractic Association

Verify Your Professional Corporation Status and Avoid Medicare PECOS Issues

by Insurance Committee | May 22, 2026 | Billing and Coding, Compliance, Insurance Updates, Medicare/Medicaid, Members Only

The NYSCA Insurance Committee has been made aware of situations in which a chiropractic Professional Corporation (PC) may not be properly registered with the New York State Education Department Office of the Professions as an active business entity. Failure to...

Important Workers’ Compensation / FCS Administrators Update

by Insurance Committee | May 15, 2026 | Insurance Updates, Members Only, Workers' Compensation

As previously reported by the NYSCA Insurance Committee (The NIC), FCS Administrators (FCS) has been awarded the contract to become the primary administrator for the Workers’ Compensation Board’s 25A, Uninsured Employer Fund, Defaulted Employers, and Disability Claim...

UnitedHealthcare Announces Prior Authorization Reform Efforts

by Insurance Committee | May 13, 2026 | Commercial Insurance, Insurance Updates, Members Only, UHC

Last week, UnitedHealthcare announced it would be reducing prior authorization requirements for a variety of services by the end of this year. Unfortunately, there has been a fair amount of misinterpretation regarding UnitedHealthcare’s statement. On May 5, 2026,...

May 11 deadline for Medicare Eligibility is Here

by Insurance Committee | May 11, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

This message serves as a reminder and addresses the misinformation circulating about Medicare’s HIPAA Eligibility Transaction System (HETS). The NIC has again reached out to NGS Medicare/Wellpoint Federal, as well as Medicare’s HETS Help Desk, to...

Deadline May 11: Enroll Vendors with HETS Now to Prevent Disruption in Medicare Eligibility Checks

by Insurance Committee | May 4, 2026 | Insurance Updates, Medicare/Medicaid, Public

Providers using third-party vendors to check Medicare beneficiary eligibility must now enroll these vendors with CMS for HIPAA Eligibility Transaction System (HETS) access by linking each vendor to your NPI. This includes eligibility verification performed through...

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...