New York is poised to transform workers’ compensation by launching mandatory electronic billing (e-billing) that automatically submits providers’ bill data to the Workers’ Compensation Board (WCB).

Starting August 1, 2025, all medical providers must submit workers’ compensation bills electronically to payers. This forward-thinking initiative will benefit everyone involved—from healthcare providers and payers to employers and injured workers.

The shift to e-billing marks a significant leap forward for New York’s workers’ compensation system. While there may be a learning curve, the advantages are undeniable.

For Medical Providers:
Sending workers’ comp bills electronically (e-bills) accelerates payment timelines, helping providers get paid faster while eliminating the double-postage costs of mailing bills to both the payer and WCB.

Additionally, New York offers a financial incentive: providers can easily recoup up to $1 per e-bill from payers, helping offset e-billing expenses.

For Payers:
e-Billing eliminates the inefficiencies of paper billing and reduces the administrative costs associated with maintaining mailrooms. It also enhances payment processing and accuracy, potentially reducing disputes and making the entire process more efficient.

For New York State:
Statewide e-billing will allow the WCB to collect real-time workers’ compensation data directly from medical providers.

This workers’ comp data collection represents a monumental shift away from relying on self-reported data from payers—data that could be manipulated to serve payers’ interests. By gathering accurate and timely information, the state can better understand workers’ comp trends and make data-driven decisions to improve the system.

For Employers and Injured Workers:
The real-time workers’ comp data the WCB collects from providers’ e-bills will empower New York State to craft effective laws and regulations that genuinely support injured workers returning to work more swiftly and safely.

The provider billing data the WCB receives should ultimately mean transparency for employers seeking to understand their NY workers’ comp costs better.

This mandatory shift to e-billing isn’t just about modernizing the NY workers’ comp payment systems—it’s about creating a more transparent, efficient, and fair workers’ compensation ecosystem. The WCB deserves applause for its vision and leadership in driving this positive change.

By embracing technology, New York is setting a benchmark for other states to follow.

XML Submission Partner: Role & Responsibilities

For New York providers, e-billing involves an additional step beyond submitting the e-bills to payers (aka: claims administrators). To comply with state requirements, providers must use a WCB-approved XML Submission Partner to:

• Submit e-bills and supporting documents to the payers and
• Transmit e-bill data (in XML format) and supporting documents (in TIFF format) to the WCB.

The complete list of approved XML Submission Partners is on the WCB website. Each partner has undergone rigorous WCB testing to ensure they have the technical expertise and capability to enable full provider compliance.

The e-Billing Cycle for New York Workers’ Comp

Below is a flowchart that explains how daisyBill transmits e-bills to payers and automatically submits the required XML data and TIFF to the New York WCB.

The following are the five steps daisyBill manages in transmitting New York providers’ e-bills for injured workers’ treatment. All e-billing software should be able to manage these five steps:

1. The provider enters or imports the billing data and supporting documentation into daisyBill (Yep, that’s all you have to do on your end).
2. daisyBill converts the bill data into an ‘837’ file, the standard format for e-bills. daisyBill converts the supporting documents into a ‘275’ file, the standard document format, and electronically transmits the 837 and 275 files to the payer (or, in most cases, the payer’s clearinghouse).
3. Per the WCB requirements, daisyBill converts the bill data into the XML format and the supporting documents into TIFF format and electronically transmits the XML data and TIFFs to the WCB.
4. The payer (or their clearinghouse) transmits an electronic Explanation of Benefit (e-EOB) to daisyBill.
5. daisyBill posts all the payment data from the e-EOB directly to the e-bill.

Congratulations to the NY Workers’ Comp Board

We applaud the WCB for embracing technology to improve New York’s workers’ comp system. With the right XML Submission Partner, New York providers can fully harness the power of e-billing—streamlining their operations, accelerating payments, and improving their bottom line.

New York is pioneering substantive change and shaping a better future for workers’ compensation stakeholders. While the shift to mandatory e-billing will require adjustments, the benefits far outweigh the costs.

Have questions? Our experts are here to help all New York providers (clients or not) transition to e-billing. Use the chat feature at the bottom right of this screen to contact us or email us at info@daisybill.com.

daisyBill has NY workers’ comp e-billing solved. Schedule a brief call with our experts to learn how we can help your practice.

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