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Chapter 24: Chiropractic Program
EmblemHealth partners with Palladian Muscular Skeletal Health (Palladian), a specialty network and utilization management organization, to manage chiropractic services for our Commercial and Medicare members according to their benefit plans. Palladian is responsible for the administration of preauthorization, payment for professional claims, and appeals for denial determinations made on professional claims (excluding members with Medicare plans). In addition, Palladian is responsible for credentialing and re-credentialing of network chiropractic providers.
Palladian is also responsible for preauthorization of chiropractic services administered to eligible members at a hospital outpatient facility. However, claims payment and appeals for denial determinations of these services are handled directly by EmblemHealth.
See the Directory chapter of this Provider Manual for Customer Service and Claims contacts.