Practices in Buffalo, NY use The Medical Billing to get claims paid correctly the first time. We code, submit and follow up on every claim for physicians, clinics and labs throughout Erie County, and we report back on exactly where your money is.
Medical Billing for Buffalo's Healthcare Market
With major providers like Kaleida Health, Erie County Medical Center, Catholic Health and Roswell Park Comprehensive Cancer Center in the area, Buffalo has a competitive healthcare market where patients often see several providers. Clean documentation, correct referring-provider information and timely authorizations make the difference between a paid claim and a denial — and that is where our team focuses.
New York Payer Rules We Handle for Buffalo Practices
- Medicare: Part B claims go to National Government Services (NGS); Medicare Advantage claims go to the patient's private plan with its own authorization rules.
- Medicaid: New York Medicaid is run by the New York State Department of Health through eMedNY, and most members are in Medicaid managed care plans such as Fidelis Care, Healthfirst and MetroPlusHealth.
- Commercial plans: we bill Anthem Blue Cross Blue Shield (formerly Empire), Excellus BlueCross BlueShield, EmblemHealth and MVP Health Care and the employer plans common in Erie County.
- Local detail: New York has its own surprise-bill and independent dispute resolution rules on top of the federal No Surprises Act, which matters for out-of-network and emergency claims.
What's Included for Buffalo Practices
- Insurance eligibility and benefits verification before each visit
- Medical coding (CPT, ICD-10-CM, HCPCS and modifiers) by certified coders
- Charge entry and claim scrubbing to catch errors before submission
- Electronic claim submission to Medicare, New York Medicaid plans and commercial payers
- Denial management and appeals with root-cause tracking
- A/R follow-up on aging claims, worked daily
- Payment posting from ERAs and EOBs, including underpayment checks
- Credentialing and payer enrollment, including eMedNY provider enrollment
- Monthly reporting on collections, denials and days in A/R
Why Buffalo Practices Outsource Billing to Us
Billing staff are hard to hire and harder to keep. Outsourcing gives your Buffalo practice a full team — coders, billers and A/R specialists — for a predictable cost, with coverage during vacations and turnover. You get monthly reports on collections, denial rates and days in A/R, so you always know how the practice is performing.
We also support practices in Cheektowaga, Amherst, Tonawanda and Niagara Falls, and across the rest of the state — see our New York medical billing services or nearby pages for Yonkers and Rochester. Specialty groups can read more about our cardiology billing and hematology billing services.
Specialties We Bill For in Buffalo
Frequently Asked Questions
Do you provide medical billing services in Buffalo, NY?
Yes. We work remotely with physician practices, clinics, specialty groups and labs in Buffalo and across Erie County. We handle coding, claims, denials and A/R follow-up for Medicare, New York Medicaid and commercial payers.
Which insurance payers do you bill for Buffalo practices?
Medicare Part B through National Government Services (NGS), Medicare Advantage plans, New York Medicaid and its managed care plans, and commercial payers such as Anthem Blue Cross Blue Shield (formerly Empire), Excellus BlueCross BlueShield and EmblemHealth.
Do you work with practices near Buffalo?
Yes — including Cheektowaga, Amherst, Tonawanda and Niagara Falls. Billing is done remotely, so practices anywhere in New York can work with us.
How much does medical billing cost for a Buffalo practice?
Most billing companies charge a percentage of monthly collections, commonly between 4% and 10% depending on specialty and claim volume. We give you a fixed quote after a free audit of your claims and A/R.
How long does it take to switch to your billing service?
It depends on how quickly payer and EHR access can be set up. We plan the transition so that existing A/R keeps being worked while new claims move to our team, and we share a timeline after the free audit.