Provider Portal Updates

Here are some helpful tips:

Adding documentation to a preauthorization request: Need to provide documentation in support of an initial request for services, a concurrent review update, or a discharge plan? Simply look up the original preauthorization request, use the “Add Supporting Documentation” button, and add up to five attachments. For step-by-step instructions, see our Search and View Preauthorizations Quick Reference Guides for EmblemHealth and ConnectiCare.

PCP Member Panel Reports: This useful resource is relatively new for our ConnectiCare primary care providers (PCPs). To effectively use this report, we recommend that you check in regularly to see:

• A complete list of the patients in your panel
• A list of newly assigned patients who are ready to be invited for a new patient visit.
• For EmblemHealth, which New York Medicaid members are homeless, restricted recipients, and/or are HARP eligible to determine if special rules apply.
• Members with coverage up for recertification. Remind your patients to submit their renewal documents on time.

You can see the report on-screen or download it to Excel. Once in Excel, you can add your own columns to track patient visits, preventive care, immunizations, and more. Review the following to see how to view the PCP Member Panel Report:

• Read this guide (EmblemHealth/ConnectiCare), and/or
• Watch this short video (EmblemHealth/ConnectiCare).