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October13, 2011



CareCore National and New York Network Management LLC Introduces a New Claims Services Agreement, Effective December 5, 2011

CareCore National (CCN) and New York Network Management LLC (NYNM) are excited to announce a new claims services agreement, as CareCore National has developed aNEW ONLINE BILLING SYSTEM AND PORTALfor NYNM IPA providers. CareCore National currently manages treatment affecting more than 30 million people and is also regarded highly for their use and development of leading healthcare technology today. Thisnew agreement includes provider access to the new web based billing portal called ClaimsChannel360TM. NYNM providers will be the first to have the ability to submit their claims directly to Amerigroup, Fidelis and Wellcare payorsat no cost.Billing requirements and guidelines will remain the same for all other plans until further notice.

ClaimsSubmissionson or after December 5, 2011should be directed to CCNthrough direct electronic submission via www.nynmonline.combilling tab or directly Clearing House and Paper Claims: CareCore National will initially also accept electronic claims from Emdeonclearing house with the existing NYNMPayor ID 11334and paper claimsfrom a dedicated new PO Box address. Send Paper Claims to: NYNM IPA­ Paper Claims PO BOX 620Lake Katrine, NY 12449 All Appeals and supporting documents: CareCore National will accept appeals and supporting documents for these 3 payors and should also be sent to a new dedicated PO Box: NYNM ­ Appeals and COB PO Box 640Lake Katrine, NY 12449


In the coming weeks you will receive more instructions and process tutorials online at An instructions booklet and e-learning module will be made available via the NYNM website. For more information go to and click on the billing tab.

{New York Network Management, LLC * 9201 4th Ave * 4th Floor * Brooklyn NY 11209}

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Why are we doing this?

NYNM's intention is to improve billing processes and to modernize the end-to-end billing cycle of medical claims. By integrating the use of CCN's customized billing portalClaimsChannel360TM we have ensured great improvements to this process. ClaimsChannel360TM removes the unnecessary excess of channels a particular claim will have to pass through and directly submits to the payor on our provider's behalf. Several of ClaimsChannel360TM portal benefits: Receive electronic funds transfers and payments (EFT) Send Electronic Claims Directly to payorat no charge Upload Batch Claim Files Conduct a claims status inquiry ONLINE with full reporting tools Reduce filing times and cost by offering online submission Reduce erroneous errors on claims with customized validation rules

How does it work?

Billing requirements remain that the Physician shall submit to NYNM IPA completed claims for all Covered Services within twenty (20) days after the Covered Services are rendered. Simply visit today and click on the billing tabfor more information, you will be guided to the ClaimsChannel360TM portal for registration. Billing requirements and guidelines will remain the same for all other plans until further notice.

When does this start?

Providers can begin registration promptly upon receipt of this notice and can register for Electronic Funds Transfer (EFT) after receiving a secure login username and password from December 5th2011will be the go live datefor claims processing via the new billing portal. **It is however imperative that our providers sign up for the electronic funds transfer (EFT) within 10 businessdays and carefully review the new billing instructions for Wellcare, Amerigroup& Fidelis*** NYNM appreciates the care you deliver and values your participation in our provider network. We look forward to working with CareCore National to ensure that our network receives the highest level of service in a timely manner. Also please note that this new claims services agreement with CareCore National and ClaimsChannel360TM has no relation to current authorization management services.

If you have questions about this new program please visit to chat with customer service online or call: 888-511-5208 Ext: 1

{New York Network Management, LLC * 9201 4th Ave * 4th Floor * Brooklyn NY 11209}


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Microsoft Word - CCN Announcement_final_version _1_