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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...

NYSCA Legislative Update: End of Session

by Harter Secrest & Emery | Jun 18, 2025 | Legislative Updates, Members Only, Scope of Practice

As you are aware, this year’s legislative session has been quite the ride! As you may recall, the budget which was due on April 1, was not approved until early May. At the same time, your NYSCA officers and legislative committee attended a leadership lobby day where...

Call for Candidates: NYSCA Region 4 Director Vacancy

by Nominating and Governance Committee | Jun 2, 2025 | Members Only, NYSCA News

Special Election June 2025 – Due to the outcome of the 2025 elections, a vacancy has been created for one (1) Director position representing Region 4 (Western New York) on the NYSCA Board of Directors. In accordance with the NYSCA by-laws, a special...

Additional Webinars Scheduled Regarding BCBS Settlement

by Insurance Committee | May 20, 2025 | Commercial Insurance, Insurance Updates, Members Only

Many of you attended the last Webinar regarding the BCBS settlement which includes the largest monetary payment ($2.8 Billion) in any healthcare antitrust action in history in addition to injunctive relief valued at more than $17.3 Billion for healthcare providers who...
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