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Claims Corner

Claims paid, quickly and accurately

EmblemHealth understands that getting your claims paid quickly and accurately matters to you. That's why we created Claims Corner — a resource where you will find updated information on claims policy, best practices for coding your claims, changes to regulatory-driven payment methodology and other useful claims-related tips.

Benefits

Information on changes to plan benefits that may have an impact on your claims.

Coding

The proper coding of procedure and diagnosis for billing purposes. 

Policies & Procedures

Policies and procedures for the coordinated care of our members.

Reimbursement Policy

See EmblemHealth's reimbursement policies 

Payment Integrity Policies

See EmblemHealth's Payment Integrity policies

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© 2020 EmblemHealth. All Rights Reserved.

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

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