Starting August 1, 2025, the New York Workers’ Compensation Board (NYWCB) will require all healthcare providers to submit CMS-1500 forms and attachments electronically. Paper submissions will no longer be accepted or enforced—marking a significant shift toward a fully digital billing process in the state’s workers’ compensation system.
At Jopari Solutions, we’re ready. And we’re here to help you get ready, too.
What You Need to Know
The NYWCB’s CMS1500 regulation Subject Number 046- mandates that providers must submit bills and attachments electronically to both the payer and the Board. Here are the key highlights:
- Electronic CMS-1500 submission becomes mandatory on August 1, 2025.
- Providers are required to use a NYWCB approved XML Submission Partner for electronic submission of the CMS1500 and attachments.
- Payment may be denied when a bill is submitted improperly (i.e., not submitted electronically through an approved electronic submission partner).
- Jopari is an approved NYWCB XML submission partner, meaning you can count on us to deliver your bills accurately and compliantly.
While providers can still submit paper CMS-1500s to an approved submission partner for electronic processing, payment may be denied if the process doesn’t meet the mandated requirements. The safest route? Transition to a digital workflow well before the deadline.
What This Means for You
Whether you’re a current Jopari client or exploring ways to streamline your billing operations, this change is a timely reminder of the importance of having the right technology partner. With Jopari, you gain:
- NYWCB-compliant CMS 1500 and attachment submissions
- A streamlined path to digital transformation
- A support team who knows the regulations inside and out
To help offset the CMS 1500 XML transaction cost , providers are allowed to use code 99080, previously a no-charge code, as a billable “By Report” (BR) code—up to $1—for special reporting needs.
Don’t Wait for the Deadline
The clock is ticking, but there’s still time to make the shift. Let Jopari help you meet the mandate and avoid delays or denials. Our solutions are built for compliance, accuracy, and ease of use.
Questions? Let’s talk.
Reach out to your Jopari Account Manager or contact our Customer Care team at (800) 630-3060.
