Medical Billing Built for New York Healthcare Providers
New York is one of the more complex billing environments in the country because two very different systems run side by side. On the Medicaid side, the state processes claims through eMedNY, its centralized Medicaid claims and provider-enrollment system, but most Medicaid patients are actually enrolled in one of several Medicaid managed care plans — Fidelis Care, Healthfirst, MetroPlus Health, and Empire BlueCross BlueShield HealthPlus are among the largest — so the plan of record has to be confirmed, not assumed, before a claim goes out. On the commercial side, New York's Department of Financial Services (DFS) regulates insurers and enforces the state's prompt-pay law. And unique to New York, practices treating patients injured in car accidents have to bill under the state's No-Fault auto insurance system (Insurance Law Article 51 and Regulation 68), which runs on its own forms, deadlines, and verification-of-treatment process entirely separate from health insurance billing. A generic billing company that only knows standard commercial claims usually isn't set up for that.
Whether you're in New York City, Buffalo, Rochester or anywhere else in New York — ZenoMedix RCM provides the same certified billing expertise with deep knowledge of local payer rules and New York Medicaid requirements.
Major Payers We Work With in New York
New York Medicaid
New York Medicaid claims and provider enrollment run through eMedNY, the state's centralized Medicaid claims-processing system, but most enrollees receive care through Medicaid managed care plans rather than fee-for-service — Fidelis Care, Healthfirst, MetroPlus Health, and Empire BlueCross BlueShield HealthPlus are among the largest statewide, so the correct plan has to be confirmed per patient before submission.
HIPAA Compliance
Full HIPAA compliance for all NY providers. We stay current with all New York billing regulations. View HIPAA Statement →
Every City in New York — We're Your Billing Team
Remote billing means you get the same expert service whether you're in a major metro or a smaller community across New York.
75+ Specialties Served Across New York
Each specialty has a dedicated billing team trained on its CPT codes, modifiers, and payer-specific requirements in New York.
Everything Your Practice Needs — Nothing You Don't
New York Billing FAQ
Yes. New York's No-Fault auto insurance system runs under its own rules (Insurance Law Article 51 and Regulation 68), separate from standard health insurance billing, with its own verification-of-treatment forms and deadlines. Our New York billing team handles No-Fault claims alongside standard Medicaid and commercial billing.
Yes. New York Medicaid is processed through eMedNY, but most patients are actually enrolled in a managed care plan like Fidelis Care, Healthfirst, MetroPlus Health, or Empire BlueCross BlueShield HealthPlus. We confirm the correct plan of record per patient before submitting rather than guessing.
Under New York Insurance Law §3224-a, payers must pay or deny a clean claim within 45 days of receipt for paper claims, or 30 days for claims submitted electronically. We track claim aging against those deadlines so late payments get flagged and followed up rather than written off.
Yes. We handle eMedNY provider enrollment and re-enrollment along with Medicaid managed care plan credentialing, so your enrollment status doesn't lapse and claims don't get held up on the back end.
We serve New York practices statewide, from New York City, Buffalo, Rochester, Yonkers, Syracuse, and Albany, with the same certified coding team regardless of metro size.