Medical Provider Explanation of Benefits

The online Explanation of Benefits (EOB) allows you to obtain a detailed, printable itemization of all payments included on a medical provider check (also known as 'draft'). This will ensure you apply payments appropriately, which will save time for both you and NYSIF. To utilize this service, all you need is your Medical Provider Payee Tax ID Number, the NYSIF Check Number, and the last four digits of the Social Security Number for any claimant included on the check. 

The online Explanation of Benefits will display the following information:

• Provider information
      Payee name
      Payee tax id number
  
• Check information
       NYSIF Check Number
       Check date
       Check amount
  
• Claim information
       Claimant name
       NYSIF Claim Number
       NYSIF Case manager
       NYSIF Case manager’s telephone number
  
• Bill information
       NYSIF Bill Number
       Bill date
       Bill receipt date
       Date of service
       Code billed
       Amount charged
       Amount paid
       Reason for partial or no payment
       Total billed
       Total paid
       Definitions for reason codes
       NYSIF service code descriptions

Simply click the Explanation of Benefits quick link to the right to review an explanation of a medical draft now.