● Medical billing services in New York State

Medical Billing Services in New York That Get Every Claim Paid

Medicaid, Medicare, commercial, No-Fault and Workers’ Comp — medical billed against New York’s deadlines, with every denial worked until it’s paid.

Free · No obligation

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90 days

to file a NY Medicaid claim

45 days

to submit a No-Fault claim

120 days

to bill Workers’ Comp

30/45 days

for insurers to pay clean claims (electronic / paper)

Miss one and the claim is usually lost. We track every claim against its own deadline from the day of service.

In short: eBillingWorks is a medical billing company serving practices across New York State remotely, from New York City and Long Island to the Hudson Valley and Upstate. We bill NY Medicaid (eMedNY), Medicaid managed care plans, Medicare, commercial insurers, No-Fault auto claims and Workers’ Compensation, and also provide remote patient monitoring billing, medical transcription and appointment scheduling. Pricing starts at 2.49% of collections, and every practice starts with a free billing audit.

The problem

Why New York Practices Lose Revenue With Generic Billing Companies

Most revenue lost in New York isn’t lost to bad coding. It’s lost to deadlines, payer rules and paperwork that out-of-state billers don’t track.

Deadlines that don’t forgive mistakes

A biller used to 365-day filing windows will sit on a Medicaid claim until it’s worthless. In New York, a corrected Medicaid claim is also due back within 60 days.

Six payer systems in one practice

eMedNY, Medicaid managed care plans, Medicare, commercial plans, No-Fault carriers and Workers’ Comp each have their own forms, edits and appeal routes. Claims fall through the gaps.

An overloaded front desk

Eligibility checks, Medicaid plan changes and prior authorizations get skipped on busy days — and the denial arrives weeks later. We do that work before the visit.

Our services

Medical Billing Services for New York Practices

Choose full revenue cycle management or only the services you need. Every service runs inside your existing EHR.

Medical Billing & Claims

Charge entry, claim scrubbing and electronic submission to eMedNY, Medicaid plans, Medicare and commercial payers.

No-Fault Billing

NY specialty: auto-accident claims filed within 45 days with the right forms and records, and overdue claims chased.

Workers’ Comp Billing

NY specialty: electronic CMS-1500 bills with narrative reports, filed within 120 days, plus follow-up on unpaid bills.

Denial Management

Every denial worked to its root cause, corrected or appealed — then fixed upstream so it doesn’t repeat.

A/R Recovery & Cleanup

Old A/R sorted by payer and remaining filing window, so collectible claims are worked first.

Coding & Billing Audits

CPT, ICD-10-CM and HCPCS review with correct modifiers and E/M levels, plus audits that find missed charges.

Credentialing & Enrollment

NY Medicaid, Medicare (PECOS), Medicaid managed care and commercial plan enrollment, plus CAQH upkeep.

Eligibility & Prior Auth

Pre-visit eligibility and plan checks and prior authorizations, tracked by payer and service.

Remote Patient Monitoring

Billing for RPM programs, including the device-day and time requirements payers check before paying RPM codes.

Medical Transcription

Accurate transcription of clinical dictation into your records, with turnaround tracked on every file.

Appointment Scheduling

Scheduling, reminders and patient intake support, so your front desk can focus on the patients in front of them.

New York specialty billing

No-Fault and Workers’ Comp Billing in New York

Auto-accident and work-injury claims follow their own rules, forms and fee schedule. Orthopedic, physical therapy, chiropractic and pain management practices often depend on them — and lose the most when they’re handled like regular insurance claims.

45 days

No-Fault (auto accident)

120 days

Workers’ Compensation

Know the rules

New York Medical Billing Rules at a Glance

The New York rules our team works to every day. Miss any of them and claims are denied or delayed.

NY Medicaid: 90-day filing

Submit within 90 days of the date of service. Corrected claims are due within 60 days of notice; all claims must be finally submitted within 2 years, unless an approved delay reason applies. Source: 18 NYCRR 540.6.

Prompt pay: 30 / 45 days

Commercial insurers and HMOs must pay clean claims within 30 days (electronic) or 45 days (paper or fax), and deny or request information in writing within 30 days. Source: NY Insurance Law §3224-a.

No-Fault: 45 days to submit

Submit proof of claim within 45 days of the date of service. The insurer must pay or deny within 30 days of receiving it. Source: 11 NYCRR 65-1.1 and 65-3.8.

Workers’ Comp: 120 days

Bills are due within 120 days of treatment. Since August 1, 2025, the CMS-1500 must be filed electronically through a Board-approved partner, with the narrative report. Source: 12 NYCRR 325-1.25 and NY WCB.

Medicare: NGS, Jurisdiction K

Part A and Part B claims for New York go to National Government Services (NGS), the Jurisdiction K Medicare contractor. Source: CMS.

Medicaid pharmacy: NYRx

Since April 1, 2023, pharmacy benefits for most Medicaid managed care members run through NYRx, not the health plan. Source: NY Department of Health.

How it works

Switch to eBillingWorks in Four Steps

No pause in your billing. We take over in parallel and work your existing A/R from day one.

Free billing audit

We review a sample of your recent claims, denials and aging A/R and show you in writing where revenue is being lost.

Onboarding without disruption

We connect to your EHR and clearinghouse, sign a BAA, confirm payer enrollments and set up deadline tracking.

Clean claims before they leave

Eligibility and plan checks before the visit, coding review and scrubbing against payer edits before submission.

Follow-up until paid

Payments posted, denials worked and unpaid claims followed up on a fixed schedule, with a monthly report.

Why eBillingWorks

Know Exactly Where Every Dollar Stands

Any billing company can print “98% clean claims” on its website. We show you the real numbers for your own practice every month, measured the same way every time — so you can judge our work yourself.

Who we work with

Specialty Billing for New York Providers

Every specialty has its own codes, modifiers and denial patterns — and in New York, some depend heavily on No-Fault and Workers’ Comp.

We work inside athenaOne, Epic, eClinicalWorks, Tebra (Kareo), SimplePractice and other major EHRs. See all specialties →

Statewide coverage

Serving Practices Across New York State

We work with practices anywhere in New York, fully remotely through secure access to your systems — nothing to install and no office visit needed.

Whether you bill mostly Medicaid managed care in the city or Medicare and commercial plans upstate, your workflow is built around your payers.

Pricing

How Much Does Medical Billing Cost in New York?

Most New York billing companies charge a percentage of what they collect, so they only earn when you get paid. Your rate depends on specialty, claim volume, payer mix and the services included.

Starting at

2.49%

of collections · written quote after your free audit

What’s included

Outsourced vs. In-House Billing

In-house biller

eBillingWorks

Buyer’s guide

How to Choose a Medical Billing Company in New York

Ask every company these eight questions. A good New York biller answers each one specifically — we’ll answer all eight on your audit call.

FAQ

New York Medical Billing FAQs

Straight answers to the questions New York practices ask us most.

What is the timely filing limit for New York Medicaid?

90 days from the date of service, under 18 NYCRR 540.6. Corrected claims must be resubmitted within 60 days of notice, and all claims must be finally submitted within 2 years. Late claims are accepted only with an approved delay reason, such as retroactive eligibility.

How fast do insurers have to pay claims in New York?

Under Insurance Law §3224-a, commercial insurers and HMOs must pay clean claims within 30 days if submitted electronically and 45 days if sent on paper or fax. Late payments earn interest.

What is the deadline for No-Fault claims in New York?

Providers must submit No-Fault proof of claim within 45 days of the date of service. The insurer must pay or deny within 30 days of receiving it.

What is the deadline for Workers' Comp bills in New York?

120 days from the date of treatment. Since August 1, 2025, Workers’ Comp bills must be filed electronically on the CMS-1500 through a Board-approved submission partner.

Who is the Medicare contractor for New York?

National Government Services (NGS) processes Medicare Part A and Part B claims for New York as the Jurisdiction K Medicare Administrative Contractor.

What is eMedNY?

eMedNY is New York Medicaid’s claims and payment system. Providers use it to submit fee-for-service Medicaid claims, check eligibility and receive remittances.

What services does eBillingWorks offer New York practices?

Medical billing and claim submission, No-Fault and Workers’ Comp billing, denial management, A/R recovery, coding and billing audits, provider credentialing, revenue cycle management, remote patient monitoring billing, medical transcription and appointment scheduling. You can choose full revenue cycle management or only the services you need.

Find Out What Your New York Practice Is Leaving Uncollected

We’ll review your recent claims across Medicaid, Medicare, commercial plans, No-Fault and Workers’ Comp, and show you in writing where your practice can get paid faster.