Knowing Your Network Participation

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The easiest way to know whether your office accepts a patient's plan is to become familiar with the networks you participate in. In most cases, the network is listed on the member's ID card. If the network on the ID card matches one of the networks you participate in, then you accept that member's plan.

Know your Network Participation

Take a few minutes to become familiar with the networks you participate in.  Also make sure your front office staff and those staff members responsible for booking appointments are aware of the EmblemHealth plans you participate in.  The easiest way to know whether you participate in a particular network and accept a patient's plan is to check the provider/practice profile screen on our secure provider portal.

Find Your Network Participation

Your Provider/Practice Profile lists your current network affiliations. Follow these simple steps:

  • Sign in to our secure website with your user name and password.
  • On the left side of the screen select Provider/Practice Profile.
  • Select the office location you wish to view.
  • Scroll down to the lower section of the profile screen to see your network affiliations.

For a full list of EmblemHealth’s networks along with their associated benefit plans, see the “Provider Networks and Member Benefit Plans” chapter of the Provider Manual.

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If any of your information has changed or is inaccurate, just follow our simple instructions.
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