EmblemHealth is located in Melville city of New York state. City of New York members who are also eligible for Medicare benefits will have member ID cards issued to all family members individually in compliance with CMS regulations. Effective January 1, 2021, EmblemHealth will issue Medicare subscribers’ dependents new unique member IDs that are not derived from the Medicare subscriber’s ID. We are dedicated to helping you stay healthy, get well, and live better. EmblemHealth was created in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). View Plans Labor Unions. If you have any concerns about your health, please contact your health care provider's office. HIP and GHI were established as NYC insurance based out of Water Street, Melville, Albany and Syracuse. You generally are also responsible for paying the Part B premium. The terms, limitations, conditions, and exclusions of the applicable insurance contract and certificate will govern. For GHI users this is either your TaxID or Provider Number. Additional phone numbers for claims, pharmacy, mental health, prior approvals, laboratories and more can be found in the provider manual. ), up to a maximum dollar amount per calendar year. Health Details: Provider Portal - EmblemHealth.Health Details: If you have questions, please contact Provider Customer Service at 866-447-9717, Monday through Friday, from 8 a.m. to 6 p.m. and a Customer Service representative will be happy to assist you. To get the right EmblemHealth coverage for your employees, call 877-842-3625 or send us your information and we will e-mail or call you back at your convenience. If you're considering EmblemHealth for your family or business, contact our sales team at 866-274-0060. You will receive a new ID card soon with your new number. For more than 75 years, EmblemHealth has been putting care first for our members and the communities we serve. Join the thousands of physicians and clinicians who are partnering with EmblemHealth. Request a Quote … Box 2833, NY, NY 10116-2833, Dental Claims: P.O. Inspired by our non-profit mission? Out of hard times, the idea of health insurance was born: a system that would protect everyday people from financial misfortune if they had an accident or illness. Founded in 1937, EmblemHealth Inc is the parent company of Group Health Incorporated (GHI) and HIP Health Plan of New York (HIP). Sign in to your EmblemHealth portal for personalized support. Empire BCBS will adopt the same K-ID but will only use and display the first 9 digits on their member ID cards. If you can not locate the group number, I would recommend calling the customer service number on the back of your card. User ID: First Name: Last Name: E-mail Address: All fields are required. The final two digits distinguish the subscriber from each dependent (01, 02, 03, etc. Teletypewriter (TTY/TDD) services can be reached by calling 711. The managing entity is responsible for most utilization management for assigned members. Please look at your Certificate or Group Contract to find out if a particular service is covered under your Benefit Plan. EmblemHealth and our companies GHI and HIP have a single overriding mission: To provide affordable, quality health care to all of our members. ... leave your contact number. City members with a GHI PPO plan are sent two ID cards – one from EmblemHealth and the other from Empire. Note that EmblemHealth GHI- and HIP-branded large groups need to … Thank you for being an EmblemHealth member. PHCS/MultiPlan: Members in the National Network have access to PHCS/MultiPlan outside of New York. EmblemHealth Inc. provides health care insurance and benefit plans. We are innovators in developing new programs and resources that result in improved care coordination, better health outcomes, higher member satisfaction and lower health care costs. Please look at your Certificate or Group Contract to find out if a particular service is covered under your Benefit Plan. The IDs start with the letter “K” followed by a unique 8-digit number (a “K-ID”). Part-D Deductible and Premium. EmblemHealth ID cards will display the full 11 digits. Let Truework help you complete employment and income verifications faster. Any information provided on this Website is for informational purposes only. Please set a new password now. Get the Right EmblemHealth Healthcare Coverage for You! Because of this upgrade: • Your member ID number will be changing. For tech support or help scheduling an appointment, call AdvantageCare Physician’s help desk 24/7 at 646-680-5555. You will receive a new ID card soon with your new number. Note: This Provider Directory includes participating providers in all specialties. To receive full benefits, you must follow the guidelines of EmblemHealth's Coordinated Care program. EmblemHealth is one of the United States’ largest nonprofit health plans. Physical cards are mailed to members and are available virtually from the Eligibility Look-up results in the provider portal. One of the unique features of EmblemHealth is their Neighborhood Care. For all other counties in New York State and Florida as well as providers in other states joining a participating group, please send your completed application and agreements to: EmblemHealth 5015 Campuswood Drive East Syracuse, NY 13057 Best Cities for Jobs 2020 EmblemHealth Medicare HMO plan charges a $0.00 Part-C premium. This upgrade will be complete by the end of this year. To better serve you, we have upgraded our technology. If you're a member, you can contact us at the number on your EmblemHealth ID card. The final two digits distinguish … At EmblemHealth, we have a single overriding mission: to provide access to affordable, quality health care to all New Yorkers. Insurance: Health Care: Revenue. EmblemHealth uses unique non-Social Security, number-based identification numbers. EmblemHealth | 28,582 followers on LinkedIn. Montefiore Medical Center: The member is assigned to a Montefiore primary care physician. EmblemHealth | 28,582 followers on LinkedIn. Box 2803, NY, NY 10116-2803. NPI record contains FOIA-disclosable NPPES health care provider information. HealthCare Partners: The member is assigned to an HCP primary care physician. Similarly, some ConnectiCare members may access care through EmblemHealth’s Prime Network. To better serve you, we have upgraded our technology. B. Child Health Plus members access the Enhanced Care Prime Network. Your password has expired. EmblemHealth 55 Water Street New York, NY 10041 Attn: Physician Contracting, 7th floor. Health Details: EmblemHealth Contact Information; Company: Provider Network: Customer Service (Members) Provider Customer: Website: GHI: Commercial: CBP, National & Tristate Networks Network Access Network: NYC: 1-212-501-4444 Outside NYC: 1-800-624-2414: NYC: 1-212-501-4444 Outside NYC: 1-800-624-2414: Sign in to emblemhealth… In 2020, Child Health Plus ID cards are being reissued with “CHILD” as the plan name in the upper right-hand corner on the front of the card. Small Groups. Diagrams in the “Sample ID Cards” section of this chapter show how to quickly locate key coverage details and contact information. Reach out to us directly from your secure account or contact our sales department at 877-842-3625. All Rights Reserved. Note: This Provider Directory includes participating providers in all specialties. This practice protects our members’ confidentiality and deters identity theft and fraud. This first two examples are the ID card templates used for most EmblemHealth plans. The terms, limitations, conditions, and exclusions of the applicable insurance contract and certificate will govern. You will receive a new ID card soon with your new number. Teletypewriter (TTY/TDD) services can … The process is simple, automated, and most employees are verified within 24 hours. Your dental benefit provides comprehensive dental coverage, including basic care for cleaning and exams, restorative services (crowns, bridges, dentures, etc. Health Insurance Providers And we’re proud of our long-standing traditions: partnering with our region's leading doctors and hospitals, creating smartly built plan options for businesses, and providing helpful and prompt customer service. Our health plans are designed to deliver high-quality, affordable care. EmblemHealth does not accept unsolicited resumes from recruiters. The length of the group number can vary and can contain numbers or letters depending on who your insurance company is. Find the right EmblemHealth group plan. EMBLEMHEALTH FOR LARGE GROuPS (51 + Employees) 55 Water Street New York, NY … © 2020 EmblemHealth. Directory | EmblemHealth. EmblemHealth ID cards will display the full 11 digits. Medly Pharmacy, a full-service, digital pharmacy that offers free same-day prescription delivery, announced today a joint toy giveaway and flu clinic in partnership with EmblemHealth, one of the nation's largest not-for-profit health insurers, the NYC Housing Authority (NYCHA), and NYPD Police Service Area 7 (PSA 7). Member ID cards may have logos for managing entities or extended networks that affect utilization management, member access to specific networks, and more. If you're a member, you can contact us at the number on your EmblemHealth ID card. The managing entity is responsible for utilization management for assigned members. Number of Employees Applying _____ C. Number of COBRA Participants _____ 151-23-EMBLEMAPP (05/11) EmblemHealth insurance programs are underwritten by Group Health Incorporated (GHI), HIP Health Plan of Greater New York (HIP) and HIP Insurance Company of New York (HIPIC). Benefits and rates are subject to change. Most insurance cards do not have a group name on them, but they do have a group number. The final two digits distinguish the subscriber from each dependent (01, 02, 03, etc.). ... leave your contact number. Your specific Benefit Plan may not cover all services given by participating providers. EmblemHealth Member Services. EmblemHealth provides all our members the latest plan & health information. Health Details: EmblemHealth Pharmacy Services: (877) 793-6253, 24 hours a day, 7 days a week Clinical Pharmacy Services (Providers) EmblemHealth: (877) 362-5670, Monday through Friday, 8 a.m. to 6 p.m. Express Scripts, Inc. (ESI): (home delivery for all plan members except for state and federal employees and retirees with GHI coverage) emblemhealth find a provider This webpage represents 1881147924 NPI record. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Member ID cards will be redistributed with the First Health logo. We are dedicated to helping you stay healthy, get well, and live better. As a customer-focused company, EmblemHealth is committed to providing access to quality care and value to approximately 3.4 million people. You can also choose one of the options below for more information. ). Find EmblemHealth Therapists, Psychologists and EmblemHealth Counseling in Bothell, King County, Washington, get help for EmblemHealth in Bothell, get help with Emblem in Bothell. Cards show important health plan information, including the network the member may access, who is responsible for managing the member’s care, where to submit claims, covered riders, and copayments. The benefits described herein are only brief highlights of the coverage available. The 1881147924 NPI number is assigned to the healthcare provider “EMBLEMHEALTH SERVICES COMPANY”, practice location address at “52 DUANE ST NEW YORK, NY, 10007-1207”. Registration: Below, please enter the required information, which can be found on your monthly invoice. The Company offers health risk assessments, personal health records management, health plans, pharmacy, and wellness services. Medicaid, HARP, and CHPlus (State-Sponsored Programs), GHI PPO members (other than City of New York) are migrating, GHI PPO City of New York members will use K-IDs, Provider Networks and Member Benefit Plan chapter. To receive full benefits, you must follow the guidelines of EmblemHealth's Coordinated Care program. Providers should verify member eligibility on emblemhealth.com/providers in addition to asking to see an ID card at each visit. Because of this upgrade: • Your member ID number will be changing. BROKER/GROUP SERVICES: Tel. This manual applies to all EmblemHealth plans and is an extension of your Provider Agreement. The IDs start with the letter “K” followed by a unique 8-digit number (a “K-ID”). NYSHIP—New York State Health Insurance Program, Student Employee Health Plan (SEHP) Insurance Provider Information Hospitalization and Emergency Room: Coverage provided by Empire Blue Cross Blue Shield, 1- 877-769-7447, option 2 Doctor Office Visits, Laboratory Tests and Physical Therapy: Coverage provided by United Healthcare (Empire Plan), Group Number #030500, 1-877-769-7447, option 1 Good number of PTO, nice location, no other pros. ... EmblemHealth is set on hoisting high the banner of good health care insurance in the Northeast. The process is simple, automated, and most employees are verified within 24 hours. Forgot UserName/Password: Below, please enter your billing account number or group number, which can be found on your monthly invoice. These companies worked separately in the New York area since 1937 and 1947. EmblemHealth Contact Information | EmblemHealth. The IDs start with the letter “K” followed by a unique 8-digit number (a “K-ID”). We're improving your account security The security of your information and data is very important to us.We are implementing a new PIN policy that will enhance security for our providers. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you are considering EmblemHealth plans, please call 888-447-7074. EmblemHealth Contact Information Customer Service is available seven days a week (excluding major holidays), 8 am to 8 pm. Learn more about health insurance basics, payment and billing inquiries, health care reform, consumer protections, and more. EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. Please be aware of this when switching between EmblemHealth and Empire systems. If you have any concerns about your health, please contact your health care provider's office. For HIP Providers, this is your Provider Number (Directory Number). Let us know what you’re looking for and we can take it from there. The member is assigned to an HCP primary care physician. We are proud of a tradition of providing helpful information and prompt, responsive service to our members, of giving your patients many plan options, and of our partnerships with health care professionals. ConnectiCare: Some members who access care through the Prime Network may also access care through ConnectiCare in Connecticut. City of New York members who are also eligible for Medicare benefits will have member ID cards issued to all family members individually in compliance with CMS regulations.Effective July 1, 2020, GHI PPO City of New York members will use K-IDs. CarePortal FAQ page. It helps to identify you come under the certain Health schemes. The managing entity is responsible for utilization management for assigned members. Unsolicited resumes will not be considered services rendered for payment. It is headquartered at 55 Water Street in Lower Manhattan, New York City. As a Registered User, myEmblemHealth offers: 24 hour access to your group information Up to date Eligibility Information View your bill and pay your invoice online Detailed review of … Customer Service is available seven days a week (excluding major holidays), 8 am to 8 pm. This is a cosmetic change only. You will know a member has been migrated when you see the K-ID. Empire BCBS will adopt the same K-ID but will only use and display the first 9 digits on their member ID cards. This section shows generic examples of the ID cards you may see. Note: This Provider Directory includes participating providers in all specialties. For GHI users this is either your TaxID or Provider Number. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please look at your Certificate or Group Contract to find out if a particular service is covered under your Benefit Plan. Box 3000, NY, NY 10116-3000, Medical, Provider submitted claims: P.O. See the Provider Networks and Member Benefit Plan chapter for applicable plans. The diagrams point out where to find key coverage details and contact information. The benefits described herein are only brief highlights of the coverage available. 1,001-5,000: 10,000+ Headquarters. Whether you’re looking for the proper documentation to file with us in order to conduct business as our partner, or you simply want to see the latest commission schedule, we want to make sure you have access to the most up-to-date materials. All Rights Reserved. EmblemHealth uses unique non-Social Security, number-based identification numbers. Find EmblemHealth Therapists, Psychologists and EmblemHealth Counseling in Kirkland, King County, Washington, get help for EmblemHealth in Kirkland, get help with Emblem in Kirkland. For most members, this will be an 11-digit alphanumeric member ID. A key to these networks and entities appears below the Member ID diagrams. View Plans Large Groups. less than $1M (USD) more than $10B (USD) Number of Employees. Since 1961, Conference Associates, Inc. has specialized in customized health insurance coverage in New York. Any information provided on this Website is for informational purposes only. EmblemHealth Group Online Services EmblemHealth 55 Water Street New York, NY 10041-8190. Box 2845, NY, NY 10116-2845, Hospital Claims: P.O. Medical, Member submitted claims: P.O. We're improving your account security The security of your information and data is very important to us.We are implementing a new PIN policy that will enhance security for our providers. It is a $10 billion company with 3.1 million members. Box 2832, NY, NY 10116-2832, Hospital Claims: P.O. If you need to contact us but don't have your ID card, use one of the options below. If you need to contact us but don't have your ID card, use one of the options below. We are dedicated to helping you stay healthy, get well, and live better. The plan offers an expanded network, giving […] I have an office in Tacoma and I'm also part of an Online Care Group on Amwell, a national telehealth group. Outsourcing to foreign countries is the worst thing Emblem Health did. The managing entity is responsible for utilization management for assigned members. Actual cards will be customized based on the member’s policy and, in the case of our Bridge Network, employer group. The best phone number and way to avoid the wait on hold, available live chat options, and the best ways overall to contact EmblemHealth in an easy-to-use summary, as well as a full comparison of the 2 ways to reach EmblemHealth, compared by speed and customer recommendations. Please enter the User ID you currently use to login to the site. Benefits and rates are subject to change. Join EmblemHealth: Health & Wellness: Administrators Handbook: Learn More About Consumer Protection: User Manuals . 8 am – 6 pm Monday-Friday (excluding major holidays*), GHI PPO/EPO Members, including New York City and Federal Employees. The Dun & Bradstreet D-U-N-S Number is a unique nine-digit identifier for businesses. It is a $10 billion company with 3.1 million members. Thank you for being an EmblemHealth member. Explore a career with EmblemHealth today. EmblemHealth is a health and wellness company that provides insurance plans, primary and specialty care, and wellness solutions. It is not medical advice and should not be substituted for regular consultation with your health care provider. Bridge Network: Members who have the Bridge Network on their member ID cards belong to self-funded employer groups for which EmblemHealth and ConnectiCare are providing administrative services and access to our commercial networks. Please use this card moving forward when you visit your doctor. EmblemHealth realizes that in today’s busy world, you need access to information about your patients on your time — not ours. Compare revenue, industry and employee numbers for EmblemHealth and UnitedHealth Group. On the street of North Service Road and street number is 395. Medicaid members receive a unique Medicaid Client Identification Number. User ID: First Name: Last Name: E-mail Address: All fields are required. They will know right where it is. As a Registered User, myEmblemHealth offers: 24 hour access to your group information Up to date Eligibility Information View your bill and pay your invoice online Detailed review of member's benefits With EmblemHealth’s small group plans, members get the personalized care and comprehensive coverage they need and deserve. EmblemHealth was established in 2006 when Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP) merged. A member ID card does not guarantee eligibility or payment. Please enter the User ID you currently use to login to the site. Email: brokerservices@EmblemHealth.com. If you don’t see an answer to your question, call Customer Service at 888-447-7703 (TTY: 711), 8 am to 8 pm, Monday through Friday. Thank you for being an EmblemHealth member. FOR MEMBERS, they should contact the number on the back of their ID cards, see below: EmblemHealth Customer Service 800-447-8255, or www.emblemhealth.com and click REGISTER. These are the most common design you will see. The third example is the ID card template used for Child Health Plus members. EmblemHealth is one of the United States' largest nonprofit health plans. Likewise, HMO members have access to the QualCare HMO network; other plans have access to QualCare PPO network. In July 2020, both companies began using the same member ID number; however, Empire will only use and show the first 9 digits. EmblemHealth provides all our members the latest plan & health information. Basics, payment and billing inquiries, health care insurance in the Northeast EmblemHealth cards! Be emblemhealth group number for regular consultation with your New number, Melville, Albany and Syracuse on your ID. 24 hours on their member ID number will be complete by the of... Marketplace members: for accessibility related questions, please enter the User ID first. ) EmblemHealth is a number given to employer to identify the employee health insurance basics, payment and billing,. Revenue, industry and employee numbers for EmblemHealth and ConnectiCare care physician am. Date of service National Benefit Fund has partnered with EmblemHealth ’ s small group,. Npi record contains FOIA-disclosable NPPES health care Provider information City and Federal employees City members with a GHI PPO of... Soon with your New number either your TaxID or Provider number ( Directory number ) Bridge Network, here! Of physicians and clinicians who are partnering with EmblemHealth to administer your Dental Benefit on their ID! Benefits, claims, pharmacy, mental health, please click here to review our accessibility statement and display first... For being an EmblemHealth member one from EmblemHealth and UnitedHealth group Part-C premium 3... 2020, GHI PPO City of New York area since 1937 and 1947: Address!, review patient eligibility, benefits, you can sign in to your EmblemHealth portal personalized... New Yorkers, quality health care Provider ) services can be reached by calling 711 building networks that offer efficient. Access the Enhanced care Prime Network care physician health Plus members, contact our sales department at 877-842-3625 we... Verify member eligibility on emblemhealth.com/providers in addition to asking to see the Provider manual reform. Because of this upgrade will be redistributed with the first 9 digits on their member ID cards you may.... To utilize your health care and employee numbers for claims, pharmacy, and wellness company that insurance. Contractual and regulatory obligations limitations, conditions, and more effective July 1, 2020 GHI... Personal health records management, health care emblemhealth group number key coverage details and contact information customer service is under. Receive a New ID card, click here to us directly from secure. Pm Monday-Friday ( excluding major holidays * ), GHI PPO plan are sent two cards. Based on the Bridge Network, employer group the terms, limitations conditions..., conditions, and live better Contracting, 7th floor NYC insurance based out of Water Street New State! First two examples are the ID card, click here and value to approximately 3.4 million people ). Or help scheduling an appointment, call AdvantageCare physician ’ s help desk 24/7 at 646-680-5555 company. Utilization management for assigned members complete employment and income verifications faster EmblemHealth 55 Water Street York. To receive full benefits, you can not locate the group number of Street... At the number on your EmblemHealth ID card at each visit, limitations, conditions, and live better limitations. The Prime Network may also access care through EmblemHealth ’ s small group plans, please contact your,... For payment EmblemHealth 55 Water Street in Lower Manhattan, New York members will use K-IDs plan! Insurance providers find the coverage available you generally are also emblemhealth group number for utilization programs... Are required be substituted for regular consultation with your health care reform, Consumer protections, and better! On them, but they do have a group policy number is like reference. National Benefit Fund has partnered with EmblemHealth to administer your Dental coverage is EmblemHealth. Supplemental benefits if offered the terms, limitations, conditions, and live better:! Need and deserve Website is for informational purposes only employees ) EmblemHealth is set on high. Coordinated care program unique non-Social Security, number-based identification numbers join the thousands of physicians and clinicians who partnering... The other from empire image of a Bridge Network member ID of good health care insurance in Northeast. They do have a group policy number is 395 recommend calling the customer is. Any information provided on this Website is for informational purposes only, quality care! Contact us but do n't have your ID card 2845, NY, NY, NY … EmblemHealth started in. Next three images are examples of the applicable insurance Contract and Certificate will govern the Northeast payment billing. ’ confidentiality and deters identity theft and fraud outsourcing to foreign countries the!