EmblemHealth Electronic Claims Submission Requirements EmblemHealth Electronic Claims should not be duplicated. When duplicate claims are submitted, vendor potentially delays claims processing and create confusion for the member. Attachments cannot be submitted electronically at this time. However, most claims should be submitted electronically. If supporting documentation is required for the settlement of a vendor claim, EmblemHealth will request it. … Read More →
EmblemHealth Electronic Claims (EDI Transactions) Requirements EmblemHealth Electronic Claims help practitioners manage their practices more effectively. EmblemHealth supports HIPAA-compliant electronic data interchange transactions. Electronic claims submission provides an easier, faster way to submit claims. Some of the advantages of electronic claim submission includes: Quicker claims submission, which means faster reimbursement to you. No paper claims to … Read More →
Health Homes HIPAA Billing Enrollement Guidelines (EmblemHealth) Health Homes HIPAA Billing Enrollement provides receiving direct deposits to your bank account(s) with electronic remittance advice (ERA) through electronic funds transfers (EFT). The registration process is simple, secure, and takes just moments to complete: Step 1: Have available a recent EmblemHealth Explanation of Benefits (EOB) and, either a voided check, or … Read More →
Health Homes Billing – Claims Submission Guidelines (EmblemHealth) Health Homes Billing is released using electronic formats. Pursuant to the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191, institutional providers who submit claims electronically are required to use the HIPAA 837 Institutional (837i) transaction. This is the preferred method of claims transmission. 837 transactions … Read More →