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IMPORTANT REMINDER: The Board will require health care providers to submit the CMS-1500 universal billing form electronically beginning August 1, 2025, which must be done using a Board-approved electronic submission partner. But you don’t have to wait! Providers can move to electronic submission sooner to take advantage of key benefits.
Several electronic submission partners will accept paper CMS-1500 forms and convert to electronic on your behalf. If you choose to work with a submission provider that converts paper bills to electronic, complying with the mandate may be as simple as changing the address that you currently mail paper bills to.
If you are not currently working with an electronic submission partner, this fact sheet will guide you through the process step-by-step.
As was announced in a notification dated August 1, 2024, the Board will not act on or enforce payment of a paper CMS-1500 form submitted on or after August 1, 2025. Forms that are submitted prior to August 1, 2025, will continue to be processed, but providers are encouraged to transition to electronic submission now.
This new requirement will allow for faster payments, greater accuracy and efficiency, and will improve injured workers’ access to timely, quality medical care.
Please note: when you begin working with an electronic submission partner, you will no longer send the CMS-1500 form to the Board. The electronic submission partner must submit it on your behalf to the payer and the Board.
Visit the CMS-1500: Important Tips and Reminders section on the Board’s website for additional valuable information.
CMS-1500 webinars
The Board is hosting webinars on electronic submission in May, June, and July. Visit the Upcoming Webinars section of the website to find a date that works for you.
More information
Visit the CMS-1500 section of the Board’s website for more information.
The What Providers Need to Know section of the Board’s website walks health care providers through getting started in the workers’ compensation system, treating injured workers, billing for services, and a Provider Updates page that features regularly updated news for the provider community.
If you have not already, be sure to sign up to receive Board news straight to your inbox, including updates on the progress of this initiative, upcoming webinars, and more.
Questions?
Email CMS1500@wcb.ny.gov.
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