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.

Claims Corner

EmblemHealth's Coverage of Manual and Electric Breast Pumps

EDI Transactions: What to Know to Make Them Work for You
(Revised July 22, 2013)

Out-of-Network Provider Appeal Process for Denied Claims

EmblemHealth Coverage for Nurse Practitioner Services

EmblemHealth Coverage for Physician Assistant Services

Zoledronic Acid Replaces Zometa and Reclast on Specialty Injectable Drug List

Primary Care Rate Increase Attestation Form Available on NYSDOH Web Site



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