New York State Medicaid (eMedNY)
Also covers / subsidiaries: eMedNY, NYS Medicaid, New York Medicaid FFS
Core Payer & Clearinghouse Profile
Electronic Payer ID
10125
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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for New York State Medicaid (eMedNY).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under New York State Medicaid (eMedNY).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Edic | J1289 | Non-Par | None | Workers Comp |
| Edic | WB021 | Non-Par | None | Workers Comp |
| Medica | 10125 | Non-Par | None | 837P837I270/271276/277Dental |
| Medica | 94265 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for New York State Medicaid (eMedNY) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing New York State Medicaid (eMedNY) Denials & Delayed Payments?
Aethera's billing specialists work New York State Medicaid (eMedNY) every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.