Switch to:

providers
brokers
employers

中文
Español
Contact Us

Find a Doctor

Sign In

$0 Premium Essential Plan

Help Renewing Your Plan

City of New York Employees

中文
Español
Contact Us

Switch to:

providers
brokers
employers

Search

test

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
See All Locations

Provider Resources
- Key Resources
Provider Resources

Key Resources Frequently Asked Questions News and Updates Newsletters Directory Member ID Cards Improving Patients' Experiences Access & Availability Standards Network Laboratories Plans with No Referrals Urgent Care Center Locations

Provider Toolkit Welcome materials, guides, and forms Our Companies, Lines of Business, Networks, and Benefit Plans Bridge Program Commercial Networks and Benefit Plans Medicaid, HARP, and CHPlus (State-Sponsored Programs) Medicare Advantage Plans Credentialing Join Our Network

Learning Online/ Required Trainings Provider Portal Materials Cultural Competency Continuing Education and Resources Medicaid Cultural Competency Certification Special Needs Plan Model of Care Medicare Fraud, Waste, and Abuse State-Sponsored Programs Veradigm Webinars Referral Quick Guide

For Your Members Resources to share with your members Neighborhood Care Find a center near you, view classes and events, and more

Bridge Program

Find important information about the EmblemHealth Bridge Program
Search Our Bridge Program Page
Clinical Corner
- UM and Medical Management
- Care Management Programs
Clinical Corner

UM and Medical Management Preauthorization Lists Provider Portal Transaction Resources Plans with No Referrals Preauthorization Contacts Utilization Management News Care Management Programs Care Management

Vendor-Managed Utilization Management Programs Behavioral Health Services Durable Medical Equipment Pharmacy Services and Specialty Pharmacy Oncology Management Radiology-Related Programs and Privileging Rules for Non-Radiologists Spine and Pain Management

Quality Improvement Programs and Resources Clinical Practice Guidelines Medical Policies EmblemHealth Medical Policies ConnectiCare Medical Policies MD Perspectives Hear from our Medical Directors

Pharmacy Pharmacy News Formularies Pharmacy Medical Preauthorization List Enterprise Pharmacy Policies New Century Health — Medical Oncology Policies UM and Medical Management Pharmacy Services

Quality Improvement

Find our Quality Improvement programs and resources here.
Search Our Quality Improvement Page
Claims Corner
- Claims Resources
Claims Corner

Claims Resources Fee Schedule Updates Hospital Readmission Policy Electronic Claims Policy In-Office Testing List

Submissions Claims Contacts EmblemHealth Guide for Electronic Claims Submissions Timely Submissions Claims Submissions

Reimbursement Policies Consolidated Appropriations Act/No Surprise Billing Information Payment processes unique to our health plans Payment Integrity Policies How we pursue payment accuracy

Coding EmblemHealth Guide for NPIs and Taxonomy Codes
Provider Manual
Provider Manual

Overview Directory Credentialing Member Identification Cards Member Policies and Rights Provider Networks and Member Benefit Plans

Access to Care and Delivery System Health Promotion and Care Management Pharmacy Services EmblemHealth Spine Surgery and Pain Management Therapies Program Durable Medical Equipment Home Health Care

SNF IRF LTAC Medical Transportation Procedures Utilization and Care Management Clinical Practice Guidelines Radiology Program Outpatient Diagnostic Imaging Privileging View All

Provider Manual

Find the specific content you are looking for from our extensive Provider Manual.
Search the Provider Manual
Dental Corner
- Resources for Dental Providers
Dental Corner

Resources for Dental Providers Benefits to Participation in Dental Network Join Our Dental Network

Welcome Dental Providers Find a Dentist

Dentists Contact Us Update Your Practice Records
Sign In

May 2017 Policy Updates

05/01/2017

Home
Home
News and Updates
May 2017 Policy Updates

Provider Update

eNews Policy Update

Provider Portal
Sign In
Training Material
New Account Request Form
Portal FAQs

Quick Links
Join Our Network
Office Visit Newsletter
Learning and Required Trainings
Provider Toolkit
Member ID Cards
Member Materials
Careers

Family of Companies
Summary of Companies
Neighborhood Care
AdvantageCare Physicians
ConnectiCare
ConnectiCare Centers
WellSpark

Support
Contact Us
FAQs
Language Assistance

Also of Interest:

May 2017 Policy Updates: Volume 3 | Issue 3 | February 2017 Policy Updates | April 2017 Policy Updates

Legal |
Legal Information |
Nondiscrimination Policy |
Accessibility Statement |
Privacy & Security Policy |
Stop Fraud |
Required Provisions

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

Provider Portal

Enter your ZIP code:

Continue