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CommercialReimbursementMedium impact

Reimbursement Policies

EmblemHealth·Allergy & Immunology, Family Medicine, General Practice +6 more·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth and ConnectiCare have updated multiple reimbursement policies including Bundled Services, Preventive Medicine and Screening, and 13 Lab Benefit Management policies covering common tests like PSA, Lyme disease testing, and allergen testing. Billing teams must review revision histories for each policy to understand specific changes and effective dates.

Action Required

Action needed
Immediately: Access the EmblemHealth provider portal to review revision histories for all updated policies listed. Identify specific changes, effective dates, and billing requirements for each policy. Update billing software and encounter forms based on policy revisions. Focus on commonly used services like preventive screening, PSA testing, and allergen testing which may have new documentation or coverage requirements.