CommercialPrior AuthMedium impact
Preauthorization List Updates
EmblemHealth·Prior Authorization
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
EmblemHealth has updated their preauthorization list effective March 2024, requiring changes to prior authorization requirements for certain services. Billing teams must review the updated list to ensure proper authorization is obtained before providing affected services.
Action Required
Immediately: Billing team must access the EmblemHealth provider portal at the source URL to review the updated preauthorization list (JP 64940 03/2024). Update billing system prior authorization requirements based on the new list. Verify all scheduled procedures against updated requirements. Claims for services requiring preauthorization will be denied without proper authorization.