Boomerang

New York Network IPA introduces a new claims status management tool.

While New York Network IPA providers will continue to be able to access remit data via Availity, they now may also access claims status information using the IPA’s new proprietary claims management system named Boomerang.  The primary goal of Boomerang is to move data between provider billing software, the IPA and the payers in a more transparent and seamless way that better reflects a traditional billing software – payer relationship.  Following are highlights of what network providers can expect from this system:

• Traditional data flows and management
  • Historically, claims submitted to the IPA were only acknowledged via the clearinghouse (in other words, subsequent 277 payer responses were not passed back via the clearinghouse to the originating system).  Beginning in March 2026, providers can now expect not only the initial acknowledgement, but additional payer feedback including whether the claim is:
    • Accepted for adjudication
    • Rejected (usually including the reason if included by the payer)
    • Rejected by the IPA in the event the payer listed on the claim is unclear or the IPA does not support the payer. In this case, you must submit a new claim with the payer clearly listed in the appropriate claim loops (again, please note the IPA is not the payer)
• Corrected claim management through the originating system
  • Boomerang is for information purposes only.  It cannot be used to edit or change claim information
• Paid and denied claims, remits and ERA information
  • All will continue to be available via Availity, but we also plan within the next few months to have payment and denial information available in Boomerang as well
• To request access to Boomerang, please fill out this form
• After receiving your credentials, you can access Boomerang via: https://providers.nynmonline.com/
  • Once your access request to Boomerang is completed you will receive an email from the system to establish a password. You will have one hour to respond to this email before the invite expires. If you attempt completion and receive a message that your invite has expired please click the password reset option to have another invite sent and establish a password
• We will post updates here as additional functionality is added to Boomerang

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 our new claims management tool, Boomerang
• 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.

New York Network Management IPA (“NYNM”) WILL NO LONGER ACCEPT ANY PAPER CLAIMS as of 5/31/2026.  This includes claims mailed to PO BOX 620 Lake Katrine, NY 12449.

30+ years

serving New York providers and payors

4,000+

participating providers