CommercialReimbursementHigh impact
Reimbursement Policies
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated 26 reimbursement policies covering laboratory services, surgical procedures, DME, and preventive care. Billing teams must review the specific revision histories on the respective websites to understand exact changes and effective dates for each updated policy.
Action Required
Immediately: Billing team must visit EmblemHealth and ConnectiCare websites to review revision histories for all 26 updated reimbursement policies. Check effective dates for each policy and update billing procedures accordingly. Pay special attention to Laboratory Benefit Management (LBM) policies, coding edits, modifier requirements, and bundled services rules. Update billing software settings and staff training materials based on specific changes found in each policy's revision history.