CMS-1500 electronic submission is mandatory

Health Care Providers

CMS-1500 mandatory electronic submission took effect August 1, 2025.

CMS-1500 Mandate Provider Toolkit

Important: TPA changes for 25a and other claims. Effective 12/1/25, many 25a and other claims changed TPAs, moving from NCAComp, Inc and S.A.F.E., LLC to FCS Administrators. Learn more.

Health Care Provider and IME Search

Medical Portal

CMS-1500

Onboard

Provider Updates

Learn about features of the Board's web-based application that enables health care providers to request and renew authorization to treat injured workers, submit medical information electronically, and access lookup tools for the Board's Medical Treatment Guidelines and Drug Formulary. Health care providers and their assigned delegates, use the Medical Portal to access OnBoard to submit prior authorization requests (PARs) for Medication, DME, medical treatment/testing and Request for Decision on Unpaid Medical Bills (Form HP-1.0).

Medical Portal Overview

Video: Signing up to access the Medical Portal (5 min)

Providers

Learn about different health care provider roles and how to find or become an authorized provider.

Treatment

View information on Medical Treatment and Impairment Guidelines, Treatment Authorization Requests and diagnostic testing networks.

Billing

Access medical fee schedules, electronic bill submission tools and other resources to assist with medical billing.

Independent Medical Examinations

Preferred Provider Organizations

View the latest provider presentations for updates on several improvement initiatives underway here at the Board.

View Recorded Webinars

Read Workers’ Compensation Guidelines regarding HIPAA restrictions and medical records.

Learn More

TPA changes for 25a and other claims

Effective December 1, 2025, the third-party administrator (TPA) for the Fund for Re-opened Cases (25a), Uninsured Employers Fund (UEF), Special Fund for Disability Benefits (SFDB) and Defaulted Self-Insured Employers (DSIE) changed from NCAComp, Inc (NCA) and S.A.F.E., LLC (SAFE) to FCS Administrators, Inc (FCS). Claimants were notified of this change by mail. A small subset of 25a cases currently administered by Triad will also be switching to FCS in February 2026.

For the claims that moved to FCS on December 1:

Provider authorization requests (PARs) were automatically re-routed to FCS, including any PARs that were in progress. Providers do not need to change anything with respect to submitting PARs going forward as the carrier remains the same, it's just a different administrator.
Due to the switch over, FCS has a backlog of PARs and medical bills, which they are working to get through as quickly as possible.
Providers should bill all dates of service, even those prior to 12/1/25, to FCS. FCS is granting a grace period to avoid late submission rejections for medical bills submitted to the prior TPA and re-routed.

For more information on FCS, please visit Workers' Compensation Cost Solutions – NYS Certified Women-Owned Business Enterprise.