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CommercialCoverageLow impact

Oct 2018 Policy Updates

EmblemHealth·NJ, CT·Provider News
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth expanded their Prime Network to include small group members using QualCare in New Jersey and ConnectiCare in Connecticut, effective July 1, 2018. This network expansion provides additional coverage options for small group members in these states.

Action Required

Action needed
No immediate action required for billing teams. This is an informational update about network expansion that occurred in 2018. If treating EmblemHealth small group members from NJ or CT, verify current network status and coverage through standard eligibility verification processes.