All PlansAdministrativeMedium impact
Provider Portal: Small Change, Big Impact
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth updated their provider portal to include a pop-up message when uploading documents to existing preauthorizations, asking if the information supports inpatient stay decisions or discharge planning. Additionally, they're reminding providers that fax lines for preauthorization requests will be disconnected starting May 1, 2024, requiring all submissions through the provider portal.
Action Required
Before May 1, 2024: All staff submitting preauthorization requests must transition from fax to the provider portal. When uploading supporting documents to existing preauthorizations, respond to the new pop-up message indicating whether documents support inpatient stay decisions or discharge planning. Train staff on the updated portal workflow to ensure proper categorization of submitted documentation.