New York State’s Workers’ Compensation Board (WCB) is asking providers to be proactive and get ahead of a major impending change: electronic billing will be mandatory by this time next year.

In a recent message, WCB Chair Clarissa M. Rodriguez reminds providers that the WCB will not require claims administrators to pay bills that were submitted in paper form on or after August 1, 2025 (but will continue to enforce payment of paper bills sent prior to August 1).

As any provider, biller, or practice administrator knows, it’s best not to wait until you’re up against a deadline to make a major administrative change. New York doctors who aren’t currently e-billing should take action now to choose a state-approved e-billing partner and start the transition.

Details of the WCB message are below.

NY WCB: Switch to e-Billing STAT

The WCB is in the midst of transitioning New York workers’ comp to more standardized, efficient e-billing in a multi-stage process, as follows:

1. Starting in 2019, providers were granted the option of switching from New York-specific billing forms to the universal CMS-1500 billing form.
2. In 2022, use of the CMS-1500 became mandatory for workers’ comp billing. Providers were “strongly encouraged,” but not required, to submit the CMS-1500 electronically.
3. Beginning August 1, 2025, medical bills for workers’ comp treatment must be submitted electronically using the CMS-1500.

Starting August 1, 2025, claims administrators are free to deny payment of any bill not submitted electronically through a state-approved XML submission partner (like daisyBill).

Providers are free to determine the approved XML submission partner of their choice; claims administrators may not dictate any particular vendor.

Providers are also “strongly encouraged” to submit the required medical narrative report, which must accompany each CMS-1500 submission, using the report template provided by the WCB.

To borrow a phrase from the WCB, we strongly encourage New York providers who are not yet e-billing to make the transition sooner rather than later (regardless of their choice of submission partner).

This is more than compliance with the state’s mandate; e-billing makes the administrative side of treating injured workers easier, more efficient, and ultimately less costly. e-Bills are automatically tracked and monitored, with timestamps documenting when e-bills were received and when payment is due.

Plus, payment comes drastically faster.

Give your practice the benefit of e-billing, and avoid any lost bills or delayed payments as a result of waiting too long to make the switch. Our experts are happy to answer your questions; simply use the pink chat button in the bottom right of this screen, or email us at info@daisybill.com.

Nationwide, daisyBill increases revenue and decreases hassle for providers who treat injured workers. Get a free demonstration below.

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