Revenue Cycle Management · New York
Revenue cycle management for New York practices
Local payer expertise, national infrastructure. Healthcare SBC manages the full revenue cycle for New York practices, with billing teams who work Empire BCBS and New York Medicaid every day.
7+
Major NY payers supported
40+
Specialties configured
$0
Per-interface fees
The New York payer landscape
Medicaid program
New York Medicaid
Major payers
- Empire BCBS
- UnitedHealthcare
- Aetna
- Cigna
- Healthfirst
- EmblemHealth
- MVP Health Care
New York combines an unusually fragmented payer market with some of the most detailed state insurance regulation in the country. Practices contend with Healthfirst, EmblemHealth, MVP and Empire alongside national carriers, each with distinct authorization and appeal processes.
Healthcare SBC manages New York's surprise billing and independent dispute resolution requirements, the state's prompt-pay law, and the Medicaid managed care rules that govern a large share of downstate volume: with billing teams that work these payers daily.
New York expertise
What we handle differently in New York
Downstate managed care depth
Deep experience with Healthfirst, EmblemHealth, MetroPlus and the Medicaid MCOs that dominate NYC volume.
IDR and surprise billing
Independent dispute resolution submissions handled under New York's out-of-network protections.
Article 28 and clinic billing
Support for facility and Article 28 clinic billing alongside professional claims.
Upstate and downstate coverage
Payer mixes differ dramatically across the state; billing rules are configured per market.
Full scope
Complete revenue cycle management for New York practices
Every stage of the revenue cycle, managed by one accountable team with full visibility for you.
Other locations we serve
FAQ
Revenue Cycle Management in New York, FAQ questions
- Does Healthcare SBC provide revenue cycle management in New York?
- Yes. Healthcare SBC serves practices throughout New York with full-service revenue cycle management, including eligibility verification, certified coding, claim submission, denial management, A/R follow-up and patient collections. Our billing teams work Empire BCBS, UnitedHealthcare, Aetna and the New York Medicaid program routinely.
- Which payers do you work with in New York?
- Our New York teams handle the state's major commercial payers, including Empire BCBS, UnitedHealthcare, Aetna, Cigna, Healthfirst, EmblemHealth, MVP Health Care, along with Medicare, Medicare Advantage plans and New York Medicaid. Payer-specific edits and appeal procedures are maintained for each.
- Do I need to switch systems to use Healthcare SBC in New York?
- No. Our revenue cycle services operate inside your existing EHR and practice management system. We integrate with all major platforms, and many New York clients keep their current systems indefinitely.
- How is pricing structured?
- Most New York practices engage on a percentage of net collections, which aligns our incentives directly with yours. The exact rate depends on specialty, claim volume, average claim value and scope of services. Flat-fee arrangements are available for high-volume groups.
- Can I get a free revenue cycle assessment?
- Yes. We will analyze a sample of your claims, denials and A/R aging and deliver a written assessment quantifying recoverable revenue and benchmark gaps against New York peers: at no cost and with no obligation.
We're here to help
Ready to see what your revenue cycle could be doing?
Start wherever makes sense: a demo, a free assessment, or a straight conversation with someone who does this every day.