FINAL REMINDER: CMS-1500 Electronic Submission Required by August 1, 2025
Electronic submission of CMS-1500 required as of August 1, 2025
The Workers’ Compensation Board (Board) is requiring all health care providers in the workers’ compensation system to submit the CMS-1500 universal billing form electronically, through a Board-approved electronic submission partner, effective August 1, 2025. Providers can offset the cost of electronic submission.
Starting August 1, 2025, the workers’ compensation payer can deny payment of services if the CMS-1500 form was not submitted through a Board-approved electronic submission partner and the Board will not enforce payment. This mandate applies to every provider who treats workers’ compensation patients, whether they practice as solo practitioners or are part of a group practice.
To make the process as easy as possible, the Board will soon be removing the requirement for providers to log into the Medical Portal and accept the “Agreement for electronic submission of CMS-1500” before working with a submission partner. This step will be removed as of July 28, 2025.
ACT NOW!
To ensure uninterrupted payment for your services in treating injured workers, all providers who have not already done so are urged to move to electronic submission now.
- Contact the Board-approved submission partner you wish to work with—you can view the list of choices at wcb.ny.gov/submissionpartners.
- Arrange for electronic submission to begin no later than August 1.
- Start submitting CMS-1500 bills electronically and use CPT code 99080 to offset the cost.
MORE INFORMATION
Visit wcb.ny.gov/CMS-1500 for complete details.
Questions? Email CMS1500@wcb.ny.gov.
