New York Workers’ Compensation Board (NY WCB) EDI Mandate

As of August 1, 2025, the New York Workers’ Compensation Board (NY WCB) is requiring all healthcare providers to submit Workers’ Compensation-related medical bills electronically. This mandate is designed to streamline the claims process, reduce paperwork, and improve efficiency in medical billing for injured workers.

How Does This Affect Healthcare Providers?

Providers who are still submitting paper claims must transition to an EDI-compliant billing system before the deadline to ensure compliance. Failure to comply may result in claim processing delays or potential rejections.

How SimpliClaim Can HelpSimpliClaim provides a seamless and fully compliant EDI solution to help providers:

• Submit Workers’ Compensation claims electronically with ease.
• Ensure compliance with NY WCB requirements to avoid penalties.
• Reduce errors and rejections with AI-driven claim validation.
• Access real-time tracking to monitor claim status and payments.