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NGS Denial Issue Corrected; New Clearinghouse Issue

by Insurance Committee | Feb 4, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

The NYSCA Insurance Committee (The NIC) verified with NGS that their systems have been updated. We proceeded in testing several claims. During our tests we discovered a new issue – this one originates at the Office Ally clearinghouse. Although NGS corrected the...

NGS Medicare Claims Processing Error

by Insurance Committee | Jan 30, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

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...

2026 Traditional Medicare Deductible and Fee Schedules

by Insurance Committee | Jan 6, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

The 2026 Medicare Fee Schedule has been posted to the NGS Medicare website. The Medicare Part B deductible in 2025 is $283.33 For 2026, the Medicare Part A deductible is $1,736 per benefit period, while the Part B deductible is an annual $283, with Part B covering 80%...

Revalidating Your Medicare Enrollment

by Insurance Committee | Jan 6, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

All Medicare providers must revalidate their Medicare enrollment information on a periodic basis to maintain Medicare billing privileges. You will receive a revalidation request letter in a YELLOW ENVELOPE from NGS containing time sensitive revalidation information....

NYS WCB TPA Changes and Other Updates

by Insurance Committee | Jan 5, 2026 | Insurance Updates, Members Only, Workers' Compensation

Third Party Administrator Changes Last week, the NIC reported that the Third Party Administrator for the Fund for Re-opened Cases, Uninsured Employers Fund, Special Fund for Disability Benefits, and Defaulted Self-Insured Employers has changed from NCAComp Inc and...
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Recent Posts

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  • ACA, ICA Announce Collaboration to Support Improved Access to Chiropractic CareMay 11, 2026
  • Your Voice Matters: Advocacy Benefits for NYSCA MembersMay 8, 2026

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