An In The Loop article titled “Entering Commercial Insurance in the EI-Hub” released on 03/20/2025 provides guidance on entering commercial insurance. The article notes that commercial insurance companies often have multiple billing addresses for claims. However, with Covered Lives legislation, only the insurance company's name is required in the EI-Hub. Follow the link for more information.

During claiming, data from the Case Management module transfers to the Billing module to verify claim accuracy. This transfer requires key data, including the child’s address. If the address is missing, claims though accepted will not appear in the Invoice Batch Statuses Report until the information is available. This article explains how to use the Child Lookup feature to confirm if the child is in the Billing module.

An In The Loop article titled “Entering Medicaid and Medicaid Managed Care Insurance Information” released on 2/27/2025 provided guidance on entering Medicaid and Medicaid Managed Care insurance information in the EI-Hub. This article explains how to enter updates to Medicaid Insurance information (CIN) in the system. Follow the link for more information.

An In the Loop article released on 03/13/2025 provides additional information for billing providers seeking assistance with overlapping claims rejections. Follow the link for more information.

Users have requested information on how to track claims from the transition period of NYEIS to the EI-Hub. Claims with an ‘Approved’ status with a service date within six years of October 4, 2024 (when NYEIS was taken offline) were migrated to the EI-Hub. However, it is important to note that claims in open, pending, and rejected statuses were not migrated to the EI-Hub. Follow the link for more information.

This notice informs billing providers of recent Medicaid billing changes directed at Applied Behavior Analysis (ABA) services, which have affected the billing of Early Intervention (EI) Special Instruction (SI) claims. These changes took effect on March 3, 2025, impacting claims submitted on or after this date. Following this billing change, EI SI claims containing procedure or diagnosis codes identified in the ABA-related billing updates are denied with code CO16/N55. Impacted claims will appear in the Billing Provider’s workable queue in the Billing module, but no action can be taken at this time. The Bureau of Early Intervention (BEI) is working with Medicaid, and further instructions will be provided.

On March 28, 2025 the Bureau of Early Intervention released the bi-weekly update on the EI-Hub via listserv. Follow the link to read the full communication.

On March 14, 2025 the Bureau of Early Intervention released the bi-weekly update on the EI-Hub via listserv. Follow the link to read the full communication.

To enhance clarity and efficiency in billing rejections, adjustments have been made to ensure providers receive only the most relevant rejection reasons. These updates will help providers identify the true cause of a rejection and focus on actionable steps for resolution. The updates implemented on 3/4/2025 are related to F7/F51 and F22/F24 billing rejections. Follow the link for more details.

BEI and PCG is aware of an issue in the Scripts, Orders, Recommendations, and Referrals panel. Multiple authorization numbers and service types are displayed for a single entry. This is a cosmetic issue only and does not impact billing. Users can verify the correct provider, authorization, and service type by selecting 'Edit' on an entry or viewing the Child Info and Authorization report. Contacting the Call Center is unnecessary. An update will be provided once the fix timeline is determined. Follow the link for additional information.