Medical Billing Services in New York

Medical billing services for New York practices that bill Medicaid, Medicare and commercial plans, with strict filing deadlines tracked on every claim.

91% first-pass clean claim rate · 33% fewer AR days · HIPAA-compliant US-based team · New York payer expertise

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New York Medical Billing Landscape

New York has some of the tightest billing deadlines in the country, as our guide to timely filing limits by payer shows. New York Medicaid generally requires claims within 90 days of the date of service. Late claims are accepted only for approved delay reasons. Problems with a billing vendor do not qualify. Claims are submitted through eMedNY. Practices that miss the window usually lose the revenue for good.

Most Medicaid members in New York are enrolled in managed care. Mainstream plans include Healthfirst, Fidelis Care, MetroPlus, EmblemHealth, Anthem, UnitedHealthcare, Excellus, MVP, Molina, CDPHP, Independent Health and Highmark. Each plan has its own authorization and claim rules, which makes denial tracking by plan essential. Our denial management services log every denial by payer and cause so the same error is fixed at the source.

Medicare Part B claims in New York are processed by National Government Services as the Jurisdiction K contractor. Commercial payers such as Aetna, Anthem, EmblemHealth, Excellus, UnitedHealthcare and Cigna generally pay electronic claims within 30 days and paper claims within 45 days under state prompt pay rules. New York also has strong state surprise billing protections with an independent dispute resolution process. Practices across the state include large specialty groups in New York City, behavioral health providers, physical therapy clinics and primary care practices upstate.

These deadlines leave little room for error. A claim held for missing documentation can pass the 90-day Medicaid limit before anyone notices. A denied managed care claim may need a corrected resubmission within a short appeal window. Practices that track every claim by payer and deadline lose far less revenue to timing. That daily tracking is the core of our New York billing work. It is combined with plan-level denial reporting, which shows practice owners exactly which payers and services are causing delays each month.

New York Medical Billing

Medical Billing Services for New York Practices

MedLife MBS offers the full set of billing and revenue cycle services to New York practices. Each service can be used on its own or combined into a single outsourced billing department, with one account manager and one monthly report covering every part of the work.

Medical billing: Charge entry, claim submission, payment posting and follow-up on every open claim.
Medical coding: Certified coders assign CPT, HCPCS and ICD-10 codes with the right modifiers for each payer.
Revenue cycle management: Full-cycle management from intake to final payment with monthly KPI reporting.
Credentialing and enrollment: Commercial, Medicare and Medicaid enrollment, CAQH upkeep and revalidation tracking.
EDI enrollment: Electronic claims, ERA and EFT setup with Medicare, Medicaid and commercial payers.
Eligibility verification: Coverage, benefits and patient responsibility confirmed before each visit.
Prior authorization: Requests submitted, tracked and renewed before care is delivered.
Denial management: Denied claims corrected, appealed and logged by root cause.
Accounts receivable recovery: Aging balances worked by payer until they are paid or resolved.
Patient statements: Clear patient bills, payment plans and answers to billing questions.
Out-of-network billing: Payment review, negotiation and dispute support on OON claims.
Medical transcription: Accurate clinical documentation that supports correct coding.

Why New York Practices Choose MedLife MBS

90-day Medicaid tracking

Every Medicaid claim is tracked against the 90-day filing limit so no claim ages out unnoticed.

Managed care plan rules

We follow the authorization and claim rules of each New York Medicaid managed care plan.

NGS JK experience

Our team follows National Government Services Jurisdiction K policies for New York Medicare claims.

Prompt pay follow-up

Late commercial payments are followed up against New York’s 30-day and 45-day prompt pay timelines.

Results for New York Practices

MedLife MBS supports practices across New York and the rest of the United States. Every new client starts with a free billing review that sets baseline figures for clean claim rate, denial rate and days in AR. Monthly reports then show the current figures and the actions behind each change. Results are documented rather than estimated.

Get a Free New York Billing Review

Find out where your New York practice is losing revenue to denials, late payments and enrollment gaps. Our team will review a sample of your claims and AR by payer, then show you what can be recovered. Complete the short form or call our team at (888) 668-7770 to arrange your free review.

Frequently Asked Questions About Medical Billing in New York

What payers do you work with in New York?

We bill Medicare through National Government Services, New York Medicaid through eMedNY and its managed care plans and commercial payers including Aetna, Anthem, EmblemHealth, Excellus, UnitedHealthcare and Cigna.

Are you familiar with New York Medicaid?

Yes. We bill Medicaid fee-for-service through eMedNY and Medicaid managed care plans such as Healthfirst, Fidelis Care and MetroPlus, with the 90-day filing limit tracked on every claim.

Do you handle New York credentialing?

Yes. We manage New York Medicaid enrollment, Medicare enrollment through PECOS, managed care plan credentialing and commercial applications, with revalidation dates tracked.

What is the timely filing limit for New York Medicaid?

New York Medicaid generally requires claims within 90 days of the date of service. Only approved delay reasons allow later submission.

Who processes Medicare claims in New York?

National Government Services processes Medicare Part B claims in New York as the Jurisdiction K Medicare Administrative Contractor.

Do you work with practices outside New York City?

Yes. We work remotely inside your systems. Practices on Long Island, in the Hudson Valley and upstate receive the same service.

How much do medical billing services cost in New York?

Most practices pay a percentage of net collections based on specialty, claim volume and payer mix. MedLife MBS provides a written quote after a free review of your billing data.