New York

Fertility Billing Services for New York IVF Practices

New York has one of the strongest fertility insurance mandates in the country — three IVF cycles per lifetime for fully-insured plans — but only if claims are coded and submitted correctly. EasyRCM ensures New York fertility practices capture every mandated benefit while navigating Empire BlueCross, UnitedHealthcare NY, and Progyny's dense NYC footprint.

New York Fertility Mandate — Key Facts

New York Insurance Law §3221 requires fully-insured group health plans to cover three cycles of IVF (plus unlimited IUI cycles) for members who meet ASRM medical criteria for infertility. The mandate applies to group plans issued in New York — self-insured (ERISA) plans are exempt.

The NY mandate requires a documented infertility diagnosis (N97.x for female, N46.x for male factor) and at least 12 months of unprotected intercourse without conception (or 6 months for patients over 35). Prior authorization is mandatory and the authorization must reference the mandate-required medical necessity criteria.

FET cycles are covered under the NY mandate. PGT (preimplantation genetic testing) is not mandated but may be covered under separate rider depending on the plan. Egg freezing for elective fertility preservation is not mandated unless there is a medical indication (e.g., oncofertility).

Top New York Payer Considerations

Empire BlueCross BlueShield
Largest fully-insured carrier in NY. Mandate claims require specific auth format. Claims without mandate-coded auth are processed as non-mandated and may be underpaid.
UnitedHealthcare NY
Auth submitted via Optum portal. NYC-area large employers frequently carry Progyny carve-out — verify the fertility benefit manager before submitting to UHC.
Aetna NY
Aetna processes NY mandate claims through its standard fertility auth workflow. Aetna Better Health (Medicaid managed care) does not cover IVF.
Progyny
Dense presence across NYC-area financial services and media employers (finance, tech, publishing). Smart Cycle claims must match Progyny fee schedule — not the commercial payer schedule.
Healthfirst / MetroPlus
Medicaid managed care and exchange plans. IVF not covered. Fertility diagnosis workup (E/M, ultrasound, labs) may be covered — verify per plan.

What We Handle for New York Practices

NY mandate eligibility verification and cycle tracking
Empire, UHC, and Aetna mandate auth submissions
IVF cycle-limit tracking per patient per payer
Progyny and WINFertility claim routing in NYC
CPT 58970, 58974, 58976, 89250, 89258 coding
Diagnosis coding for N97.x, N46.x, E28.2
Denial appeals citing NY Insurance Law §3221
Patient cost-share and mandate benefit explanations
Monthly AR and denial-rate reporting

Serving New York fertility practices — NYC to Buffalo

Our free audit reviews your NY mandate compliance, payer routing accuracy, and AR aging — at no cost and no obligation.

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