Starting June 24, 2022, EmblemHealth provider portal users who can perform preauthorization transactions will now be able to view the determination letters issued for their commercial, Medicaid, HARP, and Essential Plan members in the portal. Simply use the preauthorization’s Reference ID to search for the case and look in the UM Letters section at the bottom of the page to find the formal determinations.
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See EmblemHealth’s Utilization Management (UM) Determination Letters in the Provider Portal
06/21/2022