How to bill PT/OT claims to EmblemHealth

If you are a healthcare provider from New York, you have probably treated an EmblemHealth patient at least once. This insurance is quite popular among New Yorkers, with its availability of commercial, employer-sponsored, and Medicare-Medicaid benefit plans. However, this wide spectrum of coverage comes with its price for healthcare providers: EmblemHealth delegates claim processing to third parties for some of its plans and services. This creates some difficulties in claim submission and reimbursement. Physical and occupational therapy services fall into this list. If you are a therapist, please keep reading to find out how to bill PT/OT claims to Emblem.