Your source for important provider news and updates.
June 2024
Office Visit
Feature Stories
Our provider portals have been updated with a new feature that allows users to modify a preauthorization request or an emergent inpatient admission notification. If a request or notification can be modified, a Modify Request button will show on the Preauthorization Details page.
Clicking the button will take you to a screen that is like the Review Request step in the initial request submission. Use the Edit buttons to enter any updated information. Once all edits are made, use the Submit Request button on the main Modify Request screen to submit all requested edits. For instructions on submitting a modification request, see our guides (EmblemHealth | ConnectiCare).
Starting July 1, 2024, Cityblock will no longer be part of EmblemHealth’s networks. As a result, we will transition care management services for EmblemHealth members from Cityblock to EmblemHealth. If you are a provider for an EmblemHealth member affected by this change and have questions, please sign in to the provider portal and use the Message Center to send us your inquiry.
Summer is a good time for child wellness visits, including dental checkups.
When seeing your pediatric patients, talk to their families about the link between oral and overall health, and encourage routine dental visits beginning as early as age one, or first tooth eruption.
You can conduct or schedule well-care visits when patients come to your offices for illnesses or other events. The claim modifier for separate and distinct services should be added. Telehealth can be used for Well Child Visit compliance, but be sure to submit the appropriate CPT with GT modifier.
No referral is required to see a dental provider.
This is a first-year quality measure and is based on the American Academy of Pediatrics “Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents” (published by the National Center for Education in Maternal and Child Health).
Visit the Bright Futures website for more information about well-child visits.
June 27 is National HIV Testing Day. We encourage you to talk to your patients about being tested for HIV. This year’s theme is Level up your self-love: check your status.
According to the Centers for Disease Control and Prevention (CDC), HIV testing is the pathway to engage people in their care. When patients are aware of their HIV status, it can help them choose options to stay healthy, regardless of their test results.
Visit the CDC website for more information.
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