EmblemHealth

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Paper professional claims — HIP / EmblemHealth Insurance Company (formerly HIPIC)

Official page read
Phone866-447-9717Published hours

Not published in this record

Product, plan and location

commercial · medicaid · medicare advantage
New York

Mailing address
EmblemHealth PO Box 2845 New York, NY 10116-2845

HIP / EHIC professional paper claims.

CMS-1500 paper claims unless the ID card says otherwise. EDI payer IDs: HIP/EmblemHealth Insurance Company 55247; HIP plans branded GHI HMO 25531; HIP plans branded Vytra HMO 22264. HCP-managed HIP members may bill HealthCare Partners (payer ID 11328).

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

Paper facility claims — HIP / EmblemHealth Insurance Company (formerly HIPIC)

Official page read
Phone866-447-9717Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address
EmblemHealth PO Box 2803 New York, NY 10116-2803

HIP / EHIC facility paper claims.

UB-04 facility claims. EDI payer IDs: HIP/HIPIC/Bridge 55247; HIP plans branded GHI HMO 25531.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

Paper professional claims (provider-submitted) — EmblemHealth Plan, Inc. (formerly GHI)

Official page read
Phone212-501-4444Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
New York

Mailing address
EmblemHealth PO Box 2832 New York, NY 10116-2832

Provider-submitted GHI professional paper claims.

GHI networks (Bridge, CBP, Tristate, National Network Access, Medicare Choice). EDI payer ID 13551. Member-submitted claims go to PO Box 3000 instead. Facility claims go to PO Box 2833.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

Paper facility claims — EmblemHealth Plan, Inc. (formerly GHI)

Official page read
Phone212-501-4444Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
New York

Mailing address
EmblemHealth PO Box 2833 New York, NY 10116-2833

GHI facility paper claims.

GHI facility claims; EDI payer ID 13551. Empire manages certain City of New York GHI PPO facility claims (see page).

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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