New York State Insurance Fund Launches New Online Medical Provider Portal

July 17, 2015

The New York State Insurance Fund (NYSIF) announced on Thursday the launch of its new online medical provider portal.

NYSIF said the new portal will allow registered providers and third party billers to retrieve claims payment information regarding their workers’ compensation patients. Once a provider registers, he or she will be able to self-serve and obtain access to an explanation of benefits (EOB), bill payment status (with amount paid), claims covered on an issued check and claim-by-claim pricing and payment accounting.

A medical provider must be licensed and registered with the New York State Education Department and be authorized by the Workers’ Compensation Board to render care in a workers’ comp case, NYSIF noted. There are more than 30,000 authorized medical providers in the state of New York.

To enroll for a medical provider user account, providers will need a copy of their latest check from NYSIF to complete registration. To safeguard the privileged information of both the medical provider and the claimant, obtaining EOB and bill payment information will now require a log-on before accessing that data.

If a provider uses a third-party billing company, the biller must also register for an account to obtain access to the provider’s information. Once the vendor completes the registration, NYSIF will send the vendor a unique identifier code that they must share with the provider. Once a medical provider has designated the vendor as an approved third party biller, the biller will have online access to that provider’s medical bill payment information and explanation of benefits. Only the medical provider can approve access to the portal for the third party billing company.

NYSIF consists of two separate “funds” — the Workers’ Compensation Fund, created in 1914, insuring employers against occupational injury and disease suffered by their employees, and the Disability Benefits Fund, established in 1949, which insures against disabling off-the-job sickness or injury sustained by employees.

NYSIF is a self-supporting insurance carrier that competes with private insurers in the workers’ compensation and disability benefits markets. Operating income is derived solely from insurance premiums and investments. NYSIF is the largest provider of workers’ compensation insurance in New York State.

Source: The New York State Insurance Fund

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