EmblemHealth: A few quick ways to identify if your EmblemHealth member needs a referral

Referrals are intended to support appropriate care, not to become a barrier to care. Many GHI plans do not require a referral. Investing two, quick minutes watching this video on this page, “Do I Need a Referral?” – A Quick Guide, will save your staff much more time in the long run. It will also get you off to a better start with the new patients coming to your office. Emblem Health’s referral policy has flexibility. Referrals can be filed up to 30 days after the date of service. This means you can schedule appointments and see members even if the referral transaction is handled after the visits.

Referral Policy Reminders:

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