Switch to:
members
brokers
employers
Sign in
Contact Us
Navigation Open
close menu
Provider
Switch to:
provider
Switch to:
members
brokers
employers
Provider Resources
Clinical Corner
Claims Corner
Provider Manual
Sign in
Contact Us
Sign In
Search
Search
Search
test
Submit
Popular Tasks
Find a seminar or webinar
Claims information
View provider manual
Clinical guidelines
Provider portal
Contact Us
Neighborhood Care
Cambria Heights
Harlem
Chinatown
East New York
Provider Resources
Provider Toolkit
News and Updates
How Do I...
Learning Online
Member Materials
Join Our Network
Medicaid, HARP, and CHPlus (State-Sponsored Programs)
Medicare Advantage Plans
Commercial Networks and Benefit Plans
Go to Provider Resources
Clinical Corner
UM and Medical Management
Medical Policies
Dental Providers
Behavioral Health
Pharmacy
Quality Improvement
Go to Clinical Corner
Claims Corner
Benefits
Policies & Procedures
Coding
Submissions
Reimbursement Policies
Payment Integrity Policies
Go to Claims Corner
Provider Manual
Policies & Procedures
Home
Provider
Claims Corner
Policies & Procedures
Policies and procedures for the coordinated care of our members.
Date (YYYY/MM/DD)
Title
2021/07/12
Enhanced Claims Editing Processes
2021/06/20
Claims Submission -Timely Filing
2021/01/05
Home Delivered Meals For Medicaid and HARP –Billing Guidance
2/17/2022
In-Office Testing List to Cover All EmblemHealth Members
2020/12/17
Look Back Periods to Reconcile Overpayments
2020/11/18
Maternity Claims Adjusted Procedures
2020/06/12
Audits Involving Medicare Demand Billing and Overpayments Involving Dual Eligible Recipients
2020/06/12
Performance and Supervision of Electromyographic Testing
2020/04/11
Restricted Breast Cancer Surgery Facilities for Medicaid/HARP Recipients
2020/01/02
Billing for Non-Covered Services
2020/01/02
Do Not Balance Bill Dual-Eligible Members
2020/01/02
Home Health Billing Guide
2020/01/02
Surprise Bills and Emergency Services Uniform Notice for Out of Network Providers
2020/01/02
Keep Billing Information Current
2015/06/15
Annual Fee Schedule Updates from CMS
2013/07/25
Out of Network Provider Appeal Process for Denied Claims
2022/04/25
Hospital Readmissions Policy
- Updated
Go to Archives
Back to Top
Enter your ZIP code: