Posted in Insurance, Updates

EmblemHealth GHI PPO-NYC members-member ID change

Starting 07/01/2020, the claims for Emblem GHI PPO (NYC members) will be processed on another claims platform. In order to comply with this change the member ID’s will be changed to the format of K + 10 (numbers).

The Empire cards ( for hospital benefits) will also reflect this change- however they will display only 9 digits. Please see below:

Other notable changes:

+ Beacon Health Options will start to process Behavioral Health claims. Beacon Health Options information will be now included on the back of the EmblemHealth Cards.

+ In-office lab rules will apply to all EmblemHealth members, including GHI PPO (NYC members).

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My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC), AAPV Approved Instructor; and an owner of KR2 Medical Billing. I create educational material including blogs, presentations that focus on topics of medical billing, medical coding and reimbursement in healthcare.

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