New York State Medicaid (eMedNY)
MedicaidAlso covers: eMedNY, NYS Medicaid, New York Medicaid FFS
Payer ID
Varies — confirm via portal / clearinghouse
NY Medicaid FFS routes through eMedNY; the EDI payer ID varies by clearinghouse, or providers submit 837 directly to eMedNY. (New York)
Timely Filing Limit (TFL)
90 days from date of service for initial claims (exceptions/override processes exist)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
eMedNY (direct or via Medicaid-enrolled Service Bureau)
Provider Services
800-343-9000
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.emedny.org/ePACES/index.aspx
New York State fee-for-service Medicaid, administered through the eMedNY claims system.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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