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Get the free HIP Health Plan of New York EDI Information Sheet

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This document serves as a form for physicians or billing managers to provide necessary EDI information to HIP Health Plan before submitting claims electronically.
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How to fill out HIP Health Plan of New York EDI Information Sheet

01
Open the HIP Health Plan of New York EDI Information Sheet.
02
Fill in your organization's name and address in the designated fields.
03
Provide the contact person's name and phone number for your organization.
04
Enter the relevant Tax Identification Number (TIN) or National Provider Identifier (NPI) as required.
05
Indicate the type of services your organization provides in the specified area.
06
Complete the 'EDI Enrollment' section, including the chosen transmission method (e.g., direct connection, clearinghouse).
07
Sign and date the document once all fields are accurately filled out.
08
Submit the completed form to the HIP Health Plan of New York as instructed.

Who needs HIP Health Plan of New York EDI Information Sheet?

01
Healthcare providers who wish to submit electronic claims to HIP Health Plan of New York.
02
Billing organizations that handle claims on behalf of healthcare providers.
03
Healthcare facilities that need to establish electronic data interchange with HIP.
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People Also Ask about

New York's Medicaid program provides comprehensive health insurance to lower-income New Yorkers. Medicaid pays for a wide-range of services, depending on your age, financial circumstances, family situation, or living arrangements.
Payer Name: HIP - Health Insurance Plan of Greater New YorkPayer ID: 55247Professional (CMS1500)/Institutional (UB04)[Hospitals]
Please call the NY State of Health Customer Service Center at 1-855-355-5777 if you need additional information or if you would like to receive instructions regarding mailing or faxing your documentation. How do I use my insurance?
Members of HIP are covered under EmblemHealth and eligible for Medicare Part A and B and also Medicaid through the state of New York.
The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program.
Hip hmo has lower co-pays but a more limited schedule of doctors and you need referrals to see any kind of specialist. Ghi has slightly higher co-pays, but is accepted by more doctors and no referrals needed.
eMedNY, or the electronic Medicaid system of New York State, has a number of useful resources on their website including manuals and reference material for providers and the general public. The EPIC program is a New York State program for seniors administered by the Department of Health.
Enhanced Care (Medicaid Managed Care) Enhanced Care is our state-sponsored Medicaid Managed Care plan.

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The HIP Health Plan of New York EDI Information Sheet is a document that outlines the electronic data interchange requirements for health care providers and facilities that are submitting claims or other electronic transactions to HIP Health Plan.
Health care providers, clinics, and facilities that wish to conduct electronic transactions with HIP Health Plan of New York are required to file the EDI Information Sheet.
To fill out the HIP Health Plan of New York EDI Information Sheet, providers must provide their NPI number, contact information, billing details, and preferred electronic transaction methods. Ensure all sections are completed accurately to avoid processing delays.
The purpose of the HIP Health Plan of New York EDI Information Sheet is to facilitate the electronic exchange of health care information, streamline the claims process, and ensure compliance with HIPAA regulations.
The information that must be reported on the HIP Health Plan of New York EDI Information Sheet includes the provider's NPI, practice address, contact details, electronic transaction preferences, and the types of services provided.
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