Medical billing for New Jersey practices

Medical Billing Services in New Jersey

A New Jersey claim does not go to eMedNY, even when the biller sits in Jamaica, NY. NJ FamilyCare covers Medicaid and CHIP, under the Department of Human Services. Horizon NJ Health is the largest plan. Other members are in other NJ FamilyCare plans. The plan on the card is the payer. Fee-for-service New Jersey Medicaid is a separate submission. eMedNY is New York's system and will not pay these claims.

BAASigned with every client
AAPCCertified coders
AHIMACertified coders
E&OErrors and omissions insured
50 StatesRemote billing nationwide

What a claim follows in New Jersey

A New Jersey claim does not go to eMedNY, even when the biller sits in Jamaica, NY.

NJ FamilyCare

NJ FamilyCare covers Medicaid and CHIP, under the Department of Human Services. Horizon NJ Health is the largest plan. Other members are in other NJ FamilyCare plans. The plan on the card is the payer. Fee-for-service New Jersey Medicaid is a separate submission. eMedNY is New York's system and will not pay these claims.

Novitas, Jurisdiction L

Medicare Part A and Part B for a New Jersey practice go to Novitas Solutions, Jurisdiction L, with Pennsylvania, Delaware, and Maryland. New York uses National Government Services, Jurisdiction K. A New York Medicare address will not clear a New Jersey Part B claim.

PIP and workers' compensation

New Jersey is a no-fault state. Personal injury protection is billed to the auto insurer. A work injury is billed under the Division of Workers' Compensation to the employer's carrier in New Jersey. Neither one is an NJ FamilyCare claim.

The office is in Queens. The Hudson River still changes the Medicare contractor and the Medicaid system. New York no-fault forms are not New Jersey PIP forms. Enrollment is completed for the state on the practice address.

Nearby states

New Jersey billing questions

Does a New Jersey Medicaid claim go through eMedNY?

No. NJ FamilyCare is billed to the member's plan or to New Jersey fee-for-service Medicaid. eMedNY is New York.

Where does a New Jersey Medicare claim go?

Novitas Solutions, Jurisdiction L. A New York Medicare claim goes to National Government Services, Jurisdiction K.

Does a New Jersey practice change the fee?

The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.