Hello, colleagues.
Although Edward Bulwer-Lytton famously said that the pen is mightier than the sword, we find that a one-on-one conversation with a colleague can be even more effective.
That’s why we created our Peer-to-Peer (P2P) process – to allow for these conversations to address adverse determinations. As physicians, both in the community and within our health plan, we can discuss and collaborate on the right path forward for your patients. See more.
Sandra
Sandra Rivera-Luciano MD, MHSA, FAAP
Sr. Medical Director/Utilization Management
Would you like our perspectives on other health topics? Please write to us at
emblemhealthmedicaldirectors@emblemhealth.com.
While we welcome your suggestions, we ask that you do not send protected health information (PHI) or patient-specific issues to this mailbox. This mailbox should not be used for complaints, grievances, appeals, or claims inquiries. The Claim Inquiry and Message Center features in the provider portals (EmblemHealth | ConnectiCare) should be used for those issues.
JP 61807 04/2023