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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Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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