EmblemHealth and ConnectiCare have a Corrected Claim Submission Reimbursement Policy to help you when submitting a corrected claim. We now include a shortcut link to the policy in some of our claim denial messages. The link appears as bit.ly/our-rp. This page has the policies that apply to EmblemHealth and the policies that apply to both EmblemHealth and ConnectiCare. To see policies that are specific to ConnectiCare, visit the ConnectiCare Reimbursement Policies page. The ConnectiCare page also lists the policies that apply to both companies.
Here are some key tips to keep in mind when submitting corrected claims:
- Allow 30 days for the original claim to process before submitting a corrected claim.
- Submit the original claim number on the corrected claim.
- To find the original claim number you may:
- Use the provider portal.
- Refer to the applicable Explanation of Payment (EOP) or Electronic Remittance Advice (ERA) which are also available through the provider portal.
- Entering 9s or 0s and/or any invalid numeric combination as an original claim number will cause the corrected claim to deny. The corrected claim will be returned to you.
- We cannot accept corrected claims through the provider portal.
