EmblemHealth PNC Remittance Advantage (No Cost EFT-ERA Program) EmblemHealth PNC Remittance Advantage program offers paperless claim payments and electronic remittances free of charge. EmblemHealth urges you to take advantage of this program. Electronic transactions are fast, convenient and lower the risk of lost or stolen payments. You will benefit from increased payment-processing efficiencies, cost reductions and … Read More →
Taxonomy Codes: The Importance of Accurate Taxonomy Codes Taxonomy codes are administrative codes that identify your provider type and area of specialization. It is a unique ten character alphanumeric code that enables you to identify your specialty at the claim level. EmblemHealth wants to make sure you know how this will affect you and your EmblemHealth patients. … Read More →
Taxonomy Codes: The Importance of Accurate Taxonomy Codes Taxonomy codes are administrative codes set for identifying the practitioner type and area of specialization for health care practitioners. Each taxonomy code is a unique ten character alphanumeric code that enables practitioners to identify their specialty at the claim level. Taxonomy codes are assigned at both the individual … Read More →
HIPAA Claims EmblemHealth: Look Back Periods To Reconcile Overpayments To ensure fair and accurate HIPAA claims payment, EmblemHealth conducts audits of previously adjudicated claims. The time period for these audits is referred to as the “Look Back Period.” HIPAA claims may be audited based on the settlement or paid/check date, not the date(s) of service. The date … Read More →