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.


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


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 

Provider Alerts & Updates

Read the latest news about our benefit plans, vendor programs and administrative guidelines. Plus the latest health news from the New York City and New York State Departments of Health and the FDA.


Our Call Center is currently experiencing extremely high volume and longer wait times. For questions related to COVID-19, visit our COVID-19 FAQs