Provider Portal Survey Ending Nov. 30
We value your input and ask that you take a few minutes to give us your feedback before we close the provider portal survey on Nov. 30. You can find the survey on the portal’s home page (EmblemHealth | ConnectiCare). See the December newsletter to find out what we have planned next.
Checking a Provider’s Network Status Just Got Easier
We have added the new Check Provider Network Status feature to the Member Management menu of the provider portal. Now, you can also search for a specific provider using your Tax ID, an improvement we added to the current name or NPI search selections. You will be shown a list of affiliated providers to choose from and can then select the provider to see their network status for the selected member.
More Information About Member PCP Assignment
We have enhanced the primary care provider (PCP) history shown on the Member Details page when checking a member’s eligibility or your provider network status. The updated screen shows the Medical Center details so you can see to which practice the member was previously assigned. We hope this information will help you with coordination of care when a member changes PCPs.
Improved PCP Panel Reports
You can now run a single PCP Panel Report for all PCPs (or a subset) who fall under the same Tax ID. The report now has columns showing the currently assigned PCP: provider name, NPI, and address.
Enhanced Claims Reports – More Service Line Details
For medical and hospital claims, the downloadable Excel report now captures the following information from the Explanation of Payment:
- Check paid date(“Paid date”)
- Check number(“Check/Transaction ID”)
- “Payment Reference ID”
- Payee name (“Payee”)
For dental claims, the downloadable Excel report now captures the following:
- Service Line Information
- - Area of Oral Cavity
- - Tooth
- - Surface
- Remittance Information
- - Check paid date(“Paid date”)
- - Check number(“Check/Transaction ID”)
- - “Payment Reference ID”
- - Payee Name (“Payee”)
Learn more about useful portal features in these previous emails:
- June 2022: Your Time is Valuable, and Our Portal Can Save You Time
- July 2022: Make Patient Management Simpler Through Our Secure Portal
- August2022: Billing Specialists: Use Our Portal to Simplify Accounts Receivables for EmblemHealth Members
- September 2022: Billing Specialists: Need Explanations of Payments (EOPs)? Find Them on Our Provider Portal
- October 2022: Provider Portal: New Way to See If a Provider Is In-Network for a Member
Stop faxing and get faster responses. Take advantage of the provider portal’s ability to upload documents in support of your preauthorization requests, concurrent reviews, and discharge plans.
