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.

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Benefits

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

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Coding

The proper coding of procedure and diagnosis for billing purposes. 

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Policies & Procedures

Policies and procedures for the coordinated care of our members.

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Reimbursement Policy

See EmblemHealth's reimbursement policies 

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Payment Integrity Policies

See EmblemHealth's Payment Integrity policies