CommercialPrior AuthHigh impact
Preauthorization Updates
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth has updated their preauthorization lists for ConnectiCare Commercial and Medicare plans. The billing team must review the Notable Changes section and revision histories to identify which services now require or no longer require prior authorization.
Action Required
Immediately: Billing team must access the EmblemHealth provider portal to review the Notable Changes section and revision histories for ConnectiCare Commercial and Medicare Preauthorization Lists. Update billing system rules to reflect any new prior authorization requirements or removals. Verify preauth status for all ConnectiCare claims before submission to prevent denials.