Medical Billing Services in New York
In New York — from New York City and Buffalo to Rochester and New Rochelle — medical billing starts the moment a patient visit ends. We turn your visit notes into clean claims and move them through Empire BlueCross BlueShield and Excellus, New York Medicaid (eMedNY), and Medicare the right way, so your practice gets paid faster and stops losing revenue to denials.
- Claim preparation, submission & payment posting
- Denial management & aggressive AR follow-up
- New York payer expertise — Empire BlueCross BlueShield and Excellus, eMedNY, National Government Services
- Pay only when you get paid — no in-house billing staff
About medical billing services in New York
Whether the visit happens at an independent practice in New York City or within a larger New York health network, the billing work starts once the clinical side is done. Around here, claims move to payers like Medicare, New York Medicaid (eMedNY), and Empire BlueCross BlueShield and Excellus — so the billing flow has to be clean from the very first step.
Patient & charge capture
We gather charts, encounter forms, and provider documentation from your New York office or EHR.
Insurance eligibility verification
Real-time checks against Empire BlueCross BlueShield and Excellus, New York Medicaid (eMedNY), Medicare, and commercial plans before the claim goes out.
Accurate coding & claim preparation
Certified coders assign correct CPT/ICD-10 codes to cut denials and audit risk.
Electronic claim submission & scrubbing
Claims are scrubbed and filed fast for a high first-pass acceptance rate.
Payment posting & reconciliation
Payments are posted and reconciled so your books always match the money in.
Denial resolution & appeals
We find the root cause of New York payer denials, fix it, and win appeals — not just resubmit.
Reporting & growth support
Transparent monthly financials so you always see where your revenue stands.
We know New York’s payer landscape
Getting paid in New York means knowing each payer’s rules — not generic billing.
Empire BlueCross BlueShield and Excellus
The dominant commercial payer for New York practices. We manage its portal workflows, timely-filing windows, and prior authorizations so claims don’t stall.
New York Medicaid (eMedNY)
We handle New York Medicaid billing through eMedNY, including enrollment, managed-care plan rules, and re-credentialing.
Medicare — National Government Services
New York Medicare Part A/B is administered by National Government Services under Jurisdiction K. We work its edits, LCDs, and appeals to keep Medicare revenue moving.
Commercial & ACA plans
UnitedHealthcare, Aetna, Cigna, Humana, and New York marketplace plans — full eligibility checks, clean submission, and denial follow-up on each one.
Your one-stop billing & RCM partner in NY
One team for the entire revenue cycle — no in-house billing staff to hire, train, or replace.
Claims & scrubbing
Clean claims filed fast with a 98% first-pass acceptance rate.
Denial management
Root-cause fixes and won appeals, not blind resubmissions.
AR follow-up
Proactive aging-AR work so money doesn’t sit past timely filing.
Medical coding
Certified coders — accurate CPT/ICD-10, lower audit risk.
Provider credentialing
CAQH, eMedNY enrollment, National Government Services & commercial payer setup.
Patient billing & reports
Clear statements and transparent monthly financials.
Serving practices across New York
Remote, HIPAA-compliant billing for solo providers, groups, and clinics statewide.
New York billing questions
Do you handle New York Medicaid billing?
Yes. We bill New York Medicaid (eMedNY) through eMedNY and each managed-care plan, including provider enrollment and re-credentialing.
Can you bill Empire BlueCross BlueShield and Excellus and the major commercial payers?
Absolutely — Empire BlueCross BlueShield and Excellus, UnitedHealthcare, Aetna, Cigna, Humana, and New York marketplace plans. We manage each payer’s portals, prior-auth, and timely-filing rules.
Do you do provider credentialing in New York?
Yes — CAQH, eMedNY enrollment, Medicare (National Government Services) enrollment, and commercial payer credentialing so you can start billing sooner.
Do I need an office in a specific New York city to work with you?
No. Our billing is fully remote and HIPAA-compliant, so we support practices anywhere in New York — from New York City and Buffalo to rural NY.
How does your pricing work?
Performance-based — you pay a percentage only when you get paid. No large upfront cost and no in-house billing salaries.
Get a free New York billing audit
We’ll review your current claims, denials, and AR — and show you exactly where your New York practice is leaving money on the table.