The New York State Insurance Fund has changed its bill review and electronic billing clearinghouse vendors.

Catherine Montgomery

Effective Jan. 7, 2025, NYSIF will use Mitchell International Inc. as its bill review vendor, and Jopari as its clearinghouse vendor to accept bills that providers send electronically.

DaisyBill providers do not need to take any action. DaisyBill will automatically route all NYSIF e-bills to Jopari beginning Jan. 7.

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

According to a recent announcement, NYSIF instructs providers to send their e-bills to Jopari, the clearinghouse vendor used by Mitchell.

The announcement does not include the new payer ID that 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 P.O. Box 5463, 5640 E. Taft Road,
Syracuse, NY 13220-9998.

The message instructs providers to contact Mitchell with “questions regarding your EOB or any other bill review questions” after Jan. 7.

However, in the case of improper payment denials or reductions, the New York Workers’ Compensation Board 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.

Catherine Montgomery is the co-founder and CEO of daisyBill, a provider of workers' comp end-to-end revenue cycle management software. This post appears with permission.