Commercial Insurance - New York State Chiropractic Association

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,...

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...

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...

Highmark BCSB of WNY and NE NY Prior Authorization Program

by Insurance Committee | Jan 9, 2026 | Commercial Insurance, Highmark, Insurance Updates, Members Only

Highmark BCBS and Echo Health have been communicating with the provider community regarding changes to the electronic claim submission and payment/remittance processes. The NYSCA Insurance Committee (The NIC) is sending this NIC News to remind you of...

Several Payers Discontinue Medicare Advantage Benefits

by Insurance Committee | Jan 3, 2026 | Aetna, Cigna, Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only, UHC

The NYSCA Insurance Committee (The NIC) monitors various aspects of rules, regulations and trends which impact our reimbursement. Over the past several years we have reviewed some of these during our meetings and presentations, and discussed possible changes that we...

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...