Switch to:

See EmblemHealth’s Utilization Management (UM) Determination Letters in the Provider Portal

Switch to:
Switch to:

Search

Popular Tasks

Contact Us

Neighborhood Care

See EmblemHealth’s Utilization Management (UM) Determination Letters in the Provider Portal

06/21/2022

Starting June 24, 2022, EmblemHealth provider portal users who can perform preauthorization transactions will now be able to view the determination letters issued for their commercial, Medicaid, HARP, and Essential Plan members in the portal. Simply use the preauthorization’s Reference ID to search for the case and look in the UM Letters section at the bottom of the page to find the formal determinations. 

Provider Update

ALSO OF INTEREST

UM & Medical Management Ongoing Enhancements to Provider Portal Faster Delivery of Utilization Review Letters
provider

Language Assistance:

© 2023 EmblemHealth. All Rights Reserved.

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.