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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo


Subject No. 046-1334

Amendment of Section 325-1.3

Date: September 30, 2020

The Chair has adopted the amendment of Section 325-1.3 of 12 NYCRR to change "physicians" to "treating providers" to conform to the Expanded Provider Law, to allow insurers, self-insured employers, and TPAs to designate a single mailing address for medical reports and bills, and to facilitate implementation of the Board’s transition to use of the CMS-1500 in electronic format including a requirement that insurers accept electronic submission of the CMS-1500.

To designate a single mailing address, the insurer must:

  • Provide 30 days written notice to all providers in its database
  • Identify the mailing address on its website
  • Provide a copy of the written notice to the Chair at: PayerAddressVerification@wcb.ny.gov. IMPORTANT: Do not send the list of providers who were sent the notice. The electronic mailbox will not be able to accept large documents. The Board will request the mailing list if it is needed.

The Notice of Proposed Rule Making was published in the June 10, 2020, edition of the State RegisterLink to External Website. A Notice of Adoption will be published in the October 14, 2020, edition of the State Register. The amendments will be effective upon publication.

 

Clarissa M. Rodriguez
Chair