NYSIF Announces Launch of Online Medical Provider Portal

The NYSCA WC committee would like you to be aware of upcoming changes proposed by the New York State Insurance Fund (NYSIF). Please note this will not impact claim submission, but will change the way providers receive information about the status of their claim.

Starting on September 1, 2015, the NYSIF will be using the Medical Provider Portal in place of the call center. This portal will update providers on the status of claims, reimbursements, explanation of benefits, payment breakdown, etc.  Below is a memo that SIF has prepared and asked to be shared with the membership.

To be clear, this portal is for claim and status updates only. This will not be used for the filing of claims or for the payment of claims.


The New York State Insurance Fund recently announced the launch of its new online Medical Provider Portal at www.nysif.com. The new portal will allow registered providers and third party billers to retrieve claims payment information regarding their workers’ compensation patients. Once a provider registers at nysif.com, he or she will be able to self-serve and obtain access to an explanation of benefits (EOB), bill payment status (with amount paid), claims covered on an issued check and claim-by-claim pricing and payment accounting.

To register for a medical provider user account, go to www.nysif.com and follow the instructions for registration. Providers will need a copy of their latest check from NYSIF to complete registration. To safeguard the privileged information of both the medical provider and the claimant, obtaining EOB and bill payment information will now require a log-on before accessing that data.

If a provider uses a third-party billing company, the biller must also register for an account to obtain access to the provider’s information. Once the vendor completes the registration, NYSIF will send the vendor a unique identifier code that they must share with the provider. Once a medical provider has designated the vendor as an approved third party biller, the biller will have online access to that provider’s medical bill payment information and explanation of benefits. Please note only the medical provider can approve access to the portal for the third party billing company.

Please take a moment to visit nysif.com today and register!

Related: http://ww3.nysif.com/AboutNYSIF/NYSIFNews/2015/NYSIF_Announces_New_Medical_Provider_Portal.aspx


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