All PlansAdministrativeMedium impact
Finding a Member’s Copay Information
EmblemHealth·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth has clarified where providers can find member copay information in their provider portal. To access copayment details for hospital care, medical care, and diagnostic tests, providers should use the Benefits Summary button on the Member Details page when looking up member eligibility.
Action Required
Immediately: Train front desk and billing staff to use the Benefits Summary button on the Member Details page in the EmblemHealth provider portal when verifying patient copay information. Update office procedures to include this step during eligibility verification to ensure accurate copay collection at time of service.