CommercialPrior AuthMedium impact
EmblemHealth Preauthorization List Updated
EmblemHealth·Prior Authorization
We identified it
Jun 20, 2026
Summary
EmblemHealth updated their preauthorization list to version 3.6.5. The billing team should use the Preauthorization Check Tool in the provider portal for member-specific guidance rather than relying on static lists.
Action Required
Immediately: Billing team should access the EmblemHealth provider portal and use the Preauthorization Check Tool for all member-specific preauthorization requirements instead of using static preauthorization lists. Train staff on using the portal tool for real-time, accurate preauthorization guidance.