Reimbursement Policies

The following reimbursement policies have been updated. If the policy name does not have a company name shown, the policy applies to both EmblemHealth and ConnectiCare. See their revision histories for effective dates and applicable changes:

• Bundled Services (Commercial and Medicare).
• ConnectiCare Modifier Reference Reimbursement Policies.
• EmblemHealth Modifier Reference Reimbursement Policies.
• ConnectiCare Discarded Drugs/Biologicals – Modifier JW (Commercial).
• EmblemHealth Discarded Drugs/Biologicals – Modifier JW (Commercial).
• ConnectiCare Coding Edits Policy Reimbursement Policies.
• EmblemHealth Coding Edits Policy Reimbursement Policies.
• EmblemHealth Commercial Preventive Care Services.
• ConnectiCare Commercial Preventive Care Services.

JP 68975 04/2025