Claims Contacts

Paper claims (CMS 1500 forms) may be sent to the addresses indicated, unless otherwise noted on the member's ID card.

Company/Program Network Type of Claim EDI or Payor ID Clearing House Paper Claim Submission Address Contact for Inquiries
HIP/EmblemHealth Insurance Company (formerly HIPIC) Bridge
Enhanced Care Prime
Prime
VIP Prime
Bold
Reserve
Professional claims HIP/ EmblemHealth Insurance Company: 55247

HIP plans branded GHI HMO: 25531

HIP plans branded Vytra HMO: 22264
Vendor or direct 
submission
EmblemHealth
PO Box 2845
New York, NY 10116-2845
emblemhealth.com/providers or
866-447-9717
HIP/ EmblemHealth Insurance Company (formerly HIPIC) Bridge
Enhanced Care Prime
Prime
VIP Prime
Bold
Reserve
Facility claims HIP/HIPIC/Bridge: 55247

HIP plans branded GHI HMO: 25531
Vendor or direct 
submission
EmblemHealth
PO Box 2803
New York, NY 10116-2803
 emblemhealth.com/providers or
866-447-9717
EmblemHealth Plan, Inc. (formerly GHI) Bridge
CBP
Tristate
National
Network Access
Medicare Choice
Professional claims, member-submitted 13551 Vendor or direct 
submission
EmblemHealth 
PO Box 3000
New York, NY 10116-3000
emblemhealth.com/providers or
212-501-4444
EmblemHealth Plan, Inc. (formerly GHI) Bridge
CBP
Tristate
National
Network Access
Medicare Choice
Professional claims, provider-submitted 13551 Vendor or direct submission EmblemHealth 
PO Box 2832
New York, NY 10116-2832
emblemhealth.com/providers or
212-501-4444
EmblemHealth Plan, Inc. (formerly GHI) Bridge
CBP
Tristate
National
Network Access
Medicare Choice
Facility claims 13551 Vendor or direct 
submission
EmblemHealth
PO Box 2833
New York, NY 10116-2833
emblemhealth.com/providers or
212-501-4444
EmblemHealth Plan, Inc. (formerly GHI) GHI PPO Dental Dental claims Not applicable Vendor or direct 
submission
EmblemHealth 
PO Box 2838
New York, NY 10116-2838
emblemhealth.com/providers or
212-615-4EMC
ConnectiCare Choice
Flex
Passage
CCI VIP Medicare Advantage claims 78375 Vendor ConnectiCare
PO Box 4000
Farmington, CT 06034-4000
877-224-8230