New York has one of the most complex payer environments in the country — a very large Medicaid managed care program, regional Blue plans that change from downstate to upstate, and high volumes of no-fault and workers' compensation claims.
Medical Coder provides outsourced medical billing services in New York for independent practices, clinics and groups. We handle the full revenue cycle — eligibility, coding, claims, denials and A/R — with New York payer rules built into every step.
New York Payers We Bill Every Day
- Medicaid: New York Medicaid, administered by the Department of Health through eMedNY, and Medicaid managed care plans such as Fidelis Care, Healthfirst, MetroPlus Health and EmblemHealth.
- Medicare: Part A and Part B claims through National Government Services (Jurisdiction K), plus Medicare Advantage plans.
- Commercial plans: Empire BlueCross BlueShield, Excellus BCBS, Highmark BCBS of Western New York, EmblemHealth, MVP Health Care, CDPHP, Independent Health, UnitedHealthcare, Aetna and Cigna.
- TRICARE and VA Community Care for military families and veterans.
What Makes Medical Billing in New York Different
New York adds billing lines that other states don't have at the same scale: no-fault auto claims, workers' compensation claims with their own fee schedules and forms, and the state's surprise-bill and independent dispute resolution rules for out-of-network care. We handle these alongside standard insurance billing.
Our Medical Billing Services for New York Practices
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
- Electronic claim submission and payment posting
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
Medical Billing Across New York's Major Cities
We work with practices statewide, with dedicated support for New York City, Buffalo, Yonkers, Rochester, Syracuse, Albany, New Rochelle, Mount Vernon, Schenectady, Utica. Choose your city below for local details.
Why New York Practices Choose Medical Coder
- New York payer expertise — Medicaid managed care, National Government Services Medicare rules and the state's major commercial plans.
- Certified coders across 45+ specialties — see all specialties.
- Structured denial management with root-cause fixes.
- Transparent pricing — see how medical billing pricing works.
Get a Free Billing Audit for Your New York Practice
We will review your claims, denials and A/R at no cost and show you exactly where revenue is being lost. Start with a free medical billing audit or see medical billing for small practices.