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Claims Contacts - EmblemHealth: Family & Individual Health ...

Directory > Claims Contacts

Paper claims (CMS 1500 forms) may be sent to the addresses indicated, unless otherwise noted on the member's ID card.

Claims Contacts

CCI VIP Medicare Advantage claims


HIP claims for members managed by Montefiore CMO


HealthCare Partners (HCP)[except for members in HCP Cohort 2]

HIP claims for members managed by HCP


HIP claims for members managed by...

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Why Medicare Advantage ? - EmblemHealth

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Why Medicare Advantage?

Medicare Advantage Plans, sometimes referred to as Part C, are health plan options approved by Medicare and provided by private companies. They offer excellent benefits, often for low--or no--monthly premiums.


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Revised Reimbursement Methodology for Services to Medicare ...

Revised Reimbursement Methodology for Services to Medicare/Medicaid Dually Eligible Individuals

Date Issued: 4/18/2016

Pursuant to 2015 changes to Social Services Law, the New York State Department of Health (DOH) has revised the Medicaid reimbursement methodology for claims containing Medicare Part B services, including certain drugs and supplies provided by pharmacies, for Medicare/Medicaid dually eligible individuals.

Effective January 1, 2016, Medicaid will no longer reimburse partial Medicare Part B coinsurance amounts when the...

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State-Sponsored Programs - EmblemHealth

Medicaid, HARP and Child Health Plus

Quality, low or no cost coverage. Caring customer service.

Quality health care at little or no cost.

EmblemHealth is happy to offer its state-sponsored Medicaid Managed Care, HARP and Child...

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Related topics : new york state medicaid