Back to dashboard
CommercialAdministrativeMedium impact

Faster Delivery of Utilization Review Letters

EmblemHealth·NY·Provider News
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth is transitioning to electronic delivery of utilization review determination letters through their provider portal instead of US mail, starting with New York commercial members and expanding to all members by 2024. Letters will be delivered days faster with email notifications when posted.

Action Required

Action needed
Immediately: Staff should monitor the new 'UM Letters' section in the Preauthorization Details page for EmblemHealth New York commercial members. Ensure all authorized users who handle preauthorizations are trained to check the portal for determination letters instead of waiting for mail. Watch for training guide updates and prepare for expanded rollout to all EmblemHealth and ConnectiCare members in 2024.