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All PlansReimbursementMedium impact

New Cobranded Payment Integrity Policy

EmblemHealth·Reimbursement
Effective date
Feb 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth has implemented a new cobranded Annual Fee Schedule Updates Payment Integrity Policy effective February 2023. This appears to be a formal policy establishing procedures for payment integrity and fee schedule updates, though specific details require review of the full policy document.

Action Required

Action needed
Immediately: Billing team should access the full policy document at the provided URL to review specific fee schedule changes and payment integrity requirements. Update billing procedures according to the revision history and new formal guidelines. Monitor for any reimbursement rate changes that may affect claim submissions.

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