Claims & Eligibility

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Claims & Eligibility

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Your Claims and Remittances 

At VNSNY CHOICE we understand that easy filing and timely payment of claims are a high priority for our providers. Although you may submit paper claims by mail, there are many benefits to submitting claims electronically, such as improved accuracy, reliability, convenience, and expedited payments.

Claims must be received within 90 days of the date or services (or the time frame stipulated in your contract). If VNSNY CHOICE is not the member’s primary insurance, please submit the claim within 90 days of the date on the Explanation of Payment from the primary carrier

PLEASE NOTE: As of March 27, 2020, all Claim Disputes must be submitted through VNSNY CHOICE’s Provider Claim Dispute Form. Disputes that are not sent through our Provider Claim Dispute Form will not be addressed. If you are unsure whether to submit a Claim Dispute or Claim Appeal, please click "Should I Submit a Claim Dispute or Claim Appeal" below.

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Last updated 6/4/2020

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