The New York State Insurance Fund (NYSIF) is changing its bill review and electronic billing clearinghouse vendors. Effective January 7, 2025, NYSIF will use:

•  Mitchell International, Inc. for its bill review vendor, and
•  Jopari for its clearinghouse vendor to accept bills that providers send electronically (e-bills).

daisyBill providers do not need to take any action. daisyBill will automatically route all NYSIF e-bills to Jopari beginning on January 7th.

The mailing address for paper bills will also change. As a reminder, beginning August 1, 2025, New York mandates that providers send all workers' comp bills electronically.

The new billing details for NYSIF are below.

Sending Bills to NYSIF Effective January 7, 2025

According to a recent announcement (below), effective January 7th, NYSIF instructs providers to send their e-bills to Jopari, the clearinghouse vendor used by Mitchell.

The NYSIF announcement does not include the new Payer ID Jopari assigned to NYSIF. However, according to a recent Jopari Payer ID list, when sending e-bills to NYSIF, providers should use Jopari Payer ID 45052.

The new mailing address for paper bills is as follows:

PO Box 5463
5640 E Taft Road
Syracuse, NY 13220-9998

Important note: the message above instructs providers to contact Mitchell with “questions regarding your EOB or any other bill review questions” after January 7.

However, in the case of improper payment denials or reductions, the New York Workers’ Compensation Board (WCB) instructs providers to use the established procedure for billing and payment disputes. Per the WCB website:

“Payers are required to pay a health care provider's bill in full or submit a Notice of Objection to Payment of a Bill for Treatment Provided (Form C-8.1B) within 45 days of submission. If a payer has failed to do this, the health care provider may be able to request the Board's assistance by filing Form HP-1.0 through OnBoard.”

daisyBill is a New York State WCB-approved e-billing vendor. For questions about New York e-billing requirements, contact our experts using the pink chat icon in the bottom right of this screen, or email us at info@daisybill.com.

We make the switch to e-billing easy. daisyBill is a WCB-approved XML submission partner. Please request a free demonstration of our software below.

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