Provider Portal: New Check Provider Network Status Tool
Easier insurance coverage verification!
TABLE OF CONTENTS
Try the Provider Portal’s New Check Provider Network Status Tool
Provider Portal Survey
Want to Learn About Other Portal Features?
Still don't have a portal account?
Try the Provider Portal’s New Check Provider Network Status Tool
Now it’s easier than ever to see if you—or a provider you service—are in-network for an EmblemHealth or ConnectiCare member* with our provider portal's Check Provider Network Status tool. Here’s how it works:
- When you look up a member’s eligibility, use the Check Provider Network Status button on the “Member Details” page.
- Clicking the button carries the member’s information forward to a new screen where you can search for the provider.
- The search results display the provider’s network status for that member in the right-most column in the results table.
EmblemHealth: Try it now!
ConnectiCare: Try it now!
Why Use This Tool?
We offer a wide variety of networks and benefit plans. With this tool, you can:
- Declutter your office by eliminating the list(s) you use to track your participation in our networks and plans.
- Stop cross-checking the names of plans and networks on member ID cards with your provider agreements.
- See if you are in-network for a member with a plan that gives access to multiple networks, offered by our affiliated company, EmblemHealth/ConnectiCare such as the Bridge Program.
More Improvements Coming
Soon you will be able to see Check Provider’s Network Status in the Member Management menu. You will also be able to search providers by Tax ID as well as NPI and name.
*As with all member details shared on the portal, being in the member’s network is not a guarantee of payment. Payment is subject to the member’s participation, covered benefits, Managing Entity assignment, referrals, preauthorizations, etc., on the date(s) of service, as applicable.
Provider Portal Survey
Our goal is to make the provider portal valuable to your practice. Take our short survey and tell us how we can make the portal better for you. The survey is located at the top of the provider portal’s home page.
Take EmblemHealth Portal Survey Now
Want to Learn About Other Portal Features?
Whether you’re a first-time user who needs to set up an account or a regular user who wants to learn more, we have videos, step-by-step guides, and frequently asked questions (FAQs) to help you:
Still can’t find what you need? If you have a portal account, please use the Message Center to send us your questions. If the question is urgent or too complicated to write out, please call our Provider Customer Service team at:
- EmblemHealth: 866-447-9717
- ConnectiCare: Commercial: 860-674-5850, Medicare: 877-224-8230
We appreciate your commitment to our members’ health. Keep an eye out for more email updates on our provider portal.
Still Don’t Have a Portal Account?
If you need portal access, your organization’s portal Administrator/Office Manager can set you up. In support of HIPAA compliance, we look to our providers to manage their own users.
If your organization needs to set up a master account for a new Tax ID, contact our Provider Customer Service team at:
- EmblemHealth: 866-447-9717
- ConnectiCare: Commercial: 860-674-5850, Medicare: 877-224-8230
We hope you take advantage of our provider portal and all of the ways they can save you time.
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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.