EmblemHealth: Simplified Referral Transactions

Emblem Health has evaluated the referral process to make it easier for primary care providers (PCPs) to refer members to specialists. To find the details of the new process, read along.

In response to feedback from providers and provider portal users, Emblem Health evaluated the referral process to make it easier for primary care providers (PCPs) to refer members to specialists. Specifically, they simplified the portal transaction to reduce time spent on referrals. Here are the updates:

·         Fewer data entry steps.

·         Dialysis no longer requires a referral.

·         Referrals may be back-dated up to 30 days.Source: https://www.emblemhealth.com/content/dam/emblemhealth/pdfs/provider/resources/newsletters/2020/InTheKnow-August.pdf


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