NYNM is excited to now offer Remittance Advice access and ERA enrollment through the Availity Essentials platform!

• Availity is now a preferred clearinghouse vendor for receipt of NYNM IPA claims submissions
• Claim submission through Availity will help ensure a smooth transition to ERA enrollment as the IPA cannot guarantee ERA for claims submitted via the Change Healthcare clearinghouse
• This said, providers should continue to monitor claims using the Optum Assurance platform
• The IPA will continue to offer support for payments prior to the March 3, 2025 payment cycle via Excel spreadsheet, which can be requested by emailing billing@nynmonline.com
• The IPA will offer support for payments after the March 3, 2025 payment cycle processed through Availity — for assistance, please email billing@nynmonline.com for payments made between March and May 2025
• Beginning with payment cycles in June 2025, providers must retrieve remittance advice directly from Availity
• We hope to load remittance advice for 2024 closes through February 2025 at some point in the future, but do not currently have an estimate on when this will occur
• For assistance with the Availity enrollment process, please access the links and review the information on this page

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Important Change In Claims Submission Process

New York Network Management IPA (“NYNM”) WILL NO LONGER ACCEPT CLAIMS as of 11/15/23 submitted to P.O. Box 640, Lake Katrine, NY 12449.

All appeals should now be submitted through the https://nynmonline.com/resources/ portal (see the Online Appeals Forms section), and corrected claims may be submitted through Assurance (Change Healthcare).

COB claims should now also be submitted electronically from the https://nynmonline.com/resources/ portal (see COB Submission Instructions section).

New York Network Management IPA (“NYNM”) is placing all claims submitted to P.O. Box 620, Lake Katrine, NY 12449 on an INDEFINITE HOLD in Assurance.

Given that paper submissions can lead to misinterpretation in the scanning-process, claims with a “620 Hold” will remain ON HOLD until the provider/biller reviews these claims to confirm data accuracy. Once reviewed and (if necessary) corrected, tag the bill with “COMPLETE” in the Customer Name field (at the top, next to Hold Code), validate, and save.

If you would like to opt out of this process, please email billing@nynmonline.com with your associated TIN(s) and approve the release of claims without review.

For more information on claims submission, please go to https://nynmonline.com/resources/

To access Assurance, please go to https://nynmonline.com/resources/assurance/

30+ years

serving New York providers and payors

4,000+

participating providers