Last Reviewed Date: 08/02/2024
What improvements have been made to the portals
I am trying to sign in and have been locked out. What do I do?
I have never used the site before How do I request a username and password
How do I find my Portal Administrator or Office Manager?
What can my Office Manager do for me?
Does every user from my office require separate sign-in credentials?
Can an Administrator/Office Manager see all providers linked to a Tax ID?
Can a user be assigned more than one type of access?
For IPAs/facilities/hospitals with multiple providers, can a user have access to see all provider claims, preauthorizations, etc.?
For groups/facilities that have both medical and dental providers, do users have access to both through one username?
What is the timeout limit?
What URL should I use to sign into the Provider Portal?
Do I need to use a particular browser to access the Provider Portal
How do I sign in to the portals? Do I need a new User ID and password (also referred to as PIN) to sign in?
Do users need a separate sign-in for each individual hospital, IPA, facility, group, etc.?
What is multi-factor authentication
If I work with both EmblemHealth and ConnectiCare, can I connect these accounts?
As a non-participating provider, how can I set up a provider portal account?
What kind of training materials are available?
What can I learn from the Quick Reference Guides (Job-Aids) and micro-videos?
Who can I go to for questions on any training material?
Can I get printable benefit summaries for all my members
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?
Can I see the member’s actual ID card image? Can I see both the front and back of the card?
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 a PCP Member Panel Report?
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?
How far back will I be able to find claims information and Explanations of Payment (EOPs)/remittances for my claims?
Can I export my claims information to an Excel spreadsheet?
Where can I find Coordination of Benefits (COB) information?
Do I have access to the Preauthorization Check Tool?
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?
Do the New York State Sponsored Programs need referrals?
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?
Will I be able to enter notifications regarding emergent inpatient admissions or for maternity/newborn cases?
Why have EmblemHealth and ConnectiCare chosen to automate some of the concurrent review transactions triggered by the emergent inpatient admission notifications?
Are there specific formats for attachments that must be used (e.g., pdf, tiff, jpeg)?
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.?
Will refund letter requests be sent via the portal?
Do we have an option to download or print a transaction confirmation page?
Can I file a grievance or appeal using the portal?
Will I be able to upload corrected claims through the portal?
How do I recover my username or reset my password?
Who do I contact if I cannot sign in to the portal?