Submitting Electronic Claims With Member ID Numbers

Date Issued: 7/17/2012

For the protection of our members’ personal health information (PHI), do not use a member’s Social Security number when transmitting electronic claims. HIPAA-protected information is relayed and used for the proper adjudication of electronic claims and benefits for EmblemHealth members. Such PHI is confidential. Instead, please use the Member's ID number, which can easily be obtained from the member’s ID card.

Starting in early 2013, electronic claims submitted to EmblemHealth that include a member’s Social Security number instead of the member’s ID number may be rejected. EmblemHealth will not process such claims.

If you have any questions, please contact our EDI Operations Call Center at 1-212-615-4362.