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Enrolling Providers in Electronic Remittance

The New York State Early Intervention Program (EIP) currently receives remittance data through the following means: 

  1. Electronic 835 remittance advice (835s) through the State Fiscal Agent’s (SFA) clearinghouse for those providers who have enrolled;
  2. “Flat files” or excel spreadsheets from regulated plans; a method that was determined feasible in the early stages of the project to ensure the SFA obtained payment/denial results on EI claims; and
  3. Manual posting of explanation of benefits (EOBs) into EI Billing by EI providers which can be inaccurate and challenging; if the provider obtains payment in full they have no incentive to post the payment in EI Billing.

The SFA and the Bureau of Early Intervention are working toward increasing enrollment of EI providers in the electronic 835 process which will save providers valuable time and staff costs. Currently only about 43% of total claim volume is processed and posted by 835s.

BEI and the SFA will work to have all billing providers in compliance before September 30, 2020. Compliance can be achieved by either enrolling in 835s through the SFA's clearinghouse or utilizing the 835 loader on EI Billing.

For more information, please see EIBilling.com and the EI Billing Knowledge Base. If you have any questions, please contact the Customer Service Call Center at (866) 315-3747.

Article ID: 423, Created On: 3/3/2020, Modified: 3/3/2020

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