Can I request benefit extensions for EmblemHealth Plan, Inc. (formerly GHI) members for physical therapy, occupational therapy, speech therapy, allergy treatments, and vision services (orthoptics) on the Provider Portal?

Can I look up eligibility information for dates in the past?

Can I look up eligibility information for a date in the future if I am scheduling an appointment or elective admission?

When searching for a patient with a hyphenated name, do you enter the hyphen?

How do I know if I am in-network for a member?

Which members’ care plans will I be able to see in the Provider Portal?

How do I find my member’s care plan in the Provider Portal?

How do I add information or submit a correction to the care plan?

How do I contact the Care Team if I have questions about a posted care plan or need a copy of a plan with sensitive information that is not on the portal?

How do I refer a member to Care Management?

Can I run PCP Member Panel Reports for each of the PCPs in my practice?

Can I download a PCP Member Panel Report into Excel? How long does it take? Where can I find the report?

Can I export my claims information to an Excel spreadsheet?

Where can I find Coordination of Benefits (COB) information?

Can multiple CPT codes be entered on a single preauthorization request?

Will I be able to submit clinical documentation to support medical necessity determinations?

If the person who creates the preauthorization request is not available, can anyone else access and follow up on the transaction?

Can you add additional units/visits to a preauthorization request?

What end date should be selected for a preauthorization request? How far out can the end date be?

For providers who have a sub-specialty, how important is it for the address and specialty to match?

Why have EmblemHealth and ConnectiCare chosen to automate some of the preauthorization transactions?

When will the new automation be available?

How will the automation work?

How am I supposed to share documents to support concurrent reviews if I cannot send them by fax?

How can I request a modification to a preauthorization request?

I am a specialist. Can I see the medical records, test results, and other supporting information that was submitted by the requesting provider to help with coordination of care?

Can home care agencies request extensions of existing preauthorizations using the provider portal?

After I’ve submitted an Emergent Inpatient Admission Notification, is there a way to make a modification to it on the portal?

I am a specialist. Can I request a modification to a preauthorization submitted by a primary care provider (PCP) or other provider for my services if we do not share a tax ID?

How will I know if the modification I requested is approved?

Will my referral be sent to the servicing provider?

I do not have administrative staff available every day; will I still be able to enter a referral for a date that has passed?

Will provider IDs be needed for referral transactions?

Why have EmblemHealth and ConnectiCare chosen to automate some of the concurrent review transactions triggered by the emergent inpatient admission notifications?

When will the new automation be available?

How will the automation work?

Can more than one document be attached?

Is there a size limit to attachments?

Can a document be removed if attached to the wrong case, message, transaction, etc.?

Do we have an option to download or print a transaction confirmation page?

Will I be able to upload corrected claims through the portal?

Who do I contact if I cannot sign in to the portal?