Get to Know Our Provider Home Page

Our provider home page is your hub for accessing the latest information on EmblemHealth. This page links to our:

  • Provider Manual — Applicable to all plans, our online provider manual is an extension of your contract with EmblemHealth. It includes detailed information about your administrative responsibilities, contractual and regulatory obligations, and best practices for interacting with our plans and helping members navigate our delivery systems. Helpful tip: You can now subscribe to the provider manual by chapter or section, to receive email notifications of updates.
  • Enewsletters & Enewsflashes — Our quarterly News&Notes and monthly Policy Updates are emailed to your office. To receive these and other communications, please make sure we have a valid email and fax number listed in your provider profile. Helpful tip: You can access your provider profile from the left navigational panel of our secure website.
  • Policy & Alerts — The latest news about our benefit plans, vendor programs and administrative guidelines. Plus, the latest health news from the New York City and New York State Departments of Health and the FDA.
  • Claims Corner— We understand that getting your claims paid quickly and accurately matters to you. Claims Corner is your resource for updated information on claims policy, best practices for coding your claims, changes to regulatory-driven payment methodology and other useful claims-related tips.
  • Clinical Corner — This is your resource for practice guidance related to the treatment of acute, chronic and behavioral health issues as well as the medical appropriateness of specific interventions.