New York State Department of Health
New York Early Intervention System (NYEIS) Electronic Mailing List
PCG, the State Fiscal Agent, Takes Over Manual Entry of Remittance Data for EI
Providers
Dear
Colleague:
Beginning February 17, 2014, Public Consulting Group (PCG) will take over the
manual entry of remittance data from providers. This change is being made to
streamline the current billing and claiming process and to reduce the time
burden that Early Intervention providers have with obtaining information from
third-party insurers and entering the data.
As part of this effort, PCG has setup a system where it will obtain remittance
data directly from insurers’ websites on behalf of billing providers and enter
it into EIBilling. PCG will work with individual providers based on how they
currently obtain EOB and remittance data to enter it in to EIBilling.
• Providers who already have access to insurer websites will need to give
permissions to PCG to access via a secure e-fax line (518) 836 0456. This is a
new dedicated secure e-fax line apart from our current e-fax line.
• Providers, who do not currently have
access to insurers’ websites, may be contacted by PCG if the fiscal agent does
not have enough information on file to obtain access on the providers’ behalf
or if additional permission is required by an insurer.
• Providers, who receive EOBs directly
from insurers, can now send those EOBs directly to PCG via e-fax (518) 836 0456.
• Providers can continue to review all
data entered into EIBilling.
• Providers are still responsible to
continue to work and re-submit denied workable claims that appear on
EIBilling.com. For assistance with workable denials, please contact the
customer service center at (866) 315 3747.
• Providers have the option to opt out
of this opportunity. If a provider chooses to continue obtaining and entering
their own EOBs, please notify PCG by emailing nyeibilling@pcgus.com by February 28,
2014. If a provider chooses this option they must continue to fax EOBs after
entry into EIBilling to the current fax number (518) 836 0500. This will
insure that we have a complete transaction history.
As this new phase of entering remittance data
begins and as a means to reduce the burden on Early Intervention providers,
municipalities, and taxpayers, the Department of Health, Department of Financial
Services and PCG will continue to work with third-party insurers to obtain
remittance data electronically.
Please do not respond to this announcement.
Thank You
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