New York City Employees (NYCE) PPO Plan

Summary

New York City Employees (NYCE) PPO Plan is a medical and vision payer operating in New York. Claims route under payer ID 26992. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

26992

Also known as

NYCE PPO

Service area

NY

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for New York City Employees (NYCE) PPO Plan?

The payer ID for New York City Employees (NYCE) PPO Plan is 26992.

Does New York City Employees (NYCE) PPO Plan require ERA enrollment?

Yes. New York City Employees (NYCE) PPO Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does New York City Employees (NYCE) PPO Plan cover?

New York City Employees (NYCE) PPO Plan operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does New York City Employees (NYCE) PPO Plan offer?

New York City Employees (NYCE) PPO Plan covers medical and vision.

Can I submit claims to New York City Employees (NYCE) PPO Plan electronically?

Yes. New York City Employees (NYCE) PPO Plan is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).