Discover the New Features of Our Improved Provider Manual

GHI HMO Plans Now Underwritten By HIP

State Sponsored Programs Rebranded

Changes to Medicare PPO Prior Approval Rules for PT/OT/ST

Medicaid Redesign Team Updates

Claims Corner

Behind the Scenes

Case Management Programs

EmblemHealth Pharmaceutical Management Program

Changes to Provider Attestation Form Submission

High Risk Medications for Elderly Patients

Do You Make Snap Decisions?

Does Your Office Have a Flu Immunization Champion?

Serology Testing Inappropriate for Detection of Active H. pylori Infection

Correct Billing for Mammography Services

CPT Codes for Tobacco Cessation Counseling

Healthy Beginnings PATH

Clinical Corner

News&Notes Archive


Review your information now to ensure you are correctly listed in our EmblemHealth directories. If any of your information has changed or is inaccurate, just follow our simple instructions to update your profile online. Can't update your information online? Fax your changes to our Provider Modifications team at 1-877-889-9061.

Discover the New Features of Our
Improved Provider Manual

Come check out the new and improved provider manual — your enhanced guide to EmblemHealth's Administrative Guidelines. You can now search the manual by the Table of Contents or by Keyword to quickly and easily find the information you need.

But that's not all! We've added the following new features to make it even easier for you to access and stay current on the latest information in the manual.

  1. How Do I tab
    Don't want to search the entire manual for basic information on how to do referrals, prior approvals or claims submissions? Just click on the yellow How Do I tab, and you'll have this information at your fingertips.
  2. Subscribe to e-mail updates
    Want to know each time the manual is updated? Subscribe to the chapters and sections that are most important to you, and we'll send you an e-mail notification each time that part of the manual is updated.
  3. E-Mail yourself a link
    Want easy access to the chapters and sections you reference most often? Click on E-Mail This. This button will send you or your colleagues a permanent link to this information.
  4. Narrow your search
    Did your keyword search produce too many results? Use the filters in the left navigation bar to zero in on the information you need. You can narrow your search by Provider Type, Benefit Plan and Managing Entity as well as a number of additional keywords.
  5. Enhanced glossary
    Need help understanding a term on the page? Just click on Glossary and instantly get a definition of that term.

We'd love to hear what you think about our new provider manual. So drop us a note at Your feedback helps us develop online tools that best meet your needs.



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