We have successfully moved all EmblemHealth and ConnectiCare provider portal users to our new, more modern portals. Thank you for your cooperation during the transition. Both portals (EmblemHealth and ConnectiCare) have these key features to help us better work together:
Referrals Need Both Referring and Servicing Providers
Providers must make referrals for plans that require them through our portals. The new transaction requires the selection of the Referring Provider and then the Servicing Provider.
Preauthorization Requests – Time-Saving Features
- Portal users can upload documents in support of preauthorization requests. To streamline workflow, we invite you to upload documents to the portal instead of faxing them. You can do this when the request is created, or later.
- The Preauthorization Check Tool covers all our members. This feature will indicate if a service needs preauthorization and who to work with.
Portal Accounts and Access to Transactions
Your designated provider Portal Administrators/Office Managers (Administrator) have been empowered to set up user accounts and manage user roles and permissions. This is in support of HIPAA compliance. If you need a new account or need to adjust your access to portal transactions (e.g. create a referral or look up a claim), your administrator must do that for you. Help is available to your Administrator, but our Provider Customer Service teams can no longer set up individual accounts or change security access.
Still Need Help?
We posted robust educational materials that walk you through a range of topics from signing in to completing a transaction. If you get stuck anywhere in the process, help is available. First, look for an answer in our Frequently Asked Questions:
If you still have questions or need additional support, you may contact Provider Customer Service:
EmblemHealth: 866-447-9717
ConnectiCare: Commercial: 860-674-5850, Medicare: 877-224-8230