Insurance Updates - New York State Chiropractic Association

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...

Medicare Fraud Scheme Involving Phishing Fax Requests

by Insurance Committee | Jun 25, 2025 | Insurance Updates, Medicare/Medicaid, Public

National Government Services (NGS) wants to share with our providers an urgent issue that has been identified by the Centers for Medicare & Medicaid Services (CMS). CMS has been flooded with incoming complaints regarding illegitimate faxes being sent to providers...

Workers’ Comp: CMS-1500 mandatory electronic submission takes effect August 1

by New York State Workers' Compensation Board | Jun 4, 2025 | Insurance Updates, Public, Workers' Compensation

CMS-1500 mandatory electronic submission takes effect August 1, 2025 — offering significant benefits to health care providers Effective August 1, 2025, the NYS Workers’ Compensation Board (Board) will require health care providers to submit...