DialClerk Directory

EmblemHealth

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Preauthorization — HIP / EmblemHealth Insurance Company (formerly HIPIC) plans

Official page read
Phone866-447-9717Published hours

Not published in this record

Product, plan and location

commercial · medicaid · medicare advantage
New York

Mailing address

Not researched for this route

Requests may be submitted online at emblemhealth.com/providers; this number gives information and IVR access. Vendor-managed services (eviCore imaging/cardiology/DME, OrthoNet spine, Carelon behavioral health, pharmacy) use separate contacts. HIP members managed by HealthCare Partners follow HCP prior approval processes.

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.

prior authorization

Preauthorization — EmblemHealth Plan, Inc. (formerly GHI) Coordinated Care Intake

Official page read
Phone800-223-9870Published hours

Not published in this record

Product, plan and location

commercial
New York

Mailing address

Not researched for this route

EmblemHealth Plan, Inc. (formerly GHI) preauthorization requests by phone through Coordinated Care Intake. NYC Employees PPO (NYCE PPO) members use nyceppo.com/provider/prior-authorization instead.

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.

prior authorization

Preauthorization — EmblemHealth Medicare PPO (formerly GHI) process and status questions

Official page read
Phone877-244-4466Published hours

Not published in this record

Product, plan and location

medicare advantage
New York

Mailing address

Not researched for this route

Questions about the preauthorization process or the status of a specific request for Medicare PPO (EmblemHealth Plan, Inc.) members. Submit requests online at emblemhealth.com/providers; 866-557-7300 is the IVR line.

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.

prior authorization

Preauthorization — skilled nursing, inpatient rehab, long-term care and home health care

Official page read
Phone877-833-2729Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

SNF, IRF, LTC facility and home health care requests; may also be submitted online at emblemhealth.com/providers.

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.

prior authorization

Preauthorization — spine surgery and pain management (OrthoNet)

Official page read
Phone844-730-8503Fax

844-296-4440

Spine surgery / pain management therapy requests and supporting clinical information.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

EmblemHealth vendor program run by OrthoNet. Phone is for forms via orthonet-online.com; requests and supporting clinical information must be faxed.

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.

prior authorization

Preauthorization — cardiology, radiology, radiation therapy and DME (eviCore) — HIP members

Official page read
Phone866-417-2345Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

eviCore manages these programs for EmblemHealth. This number is for HIP members; EmblemHealth Plan, Inc. (formerly GHI) members use 800-835-7064. Submit online at evicore.com.

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.

prior authorization

Preauthorization — cardiology, radiology, radiation therapy and DME (eviCore) — GHI members

Official page read
Phone800-835-7064Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
New York

Mailing address

Not researched for this route

eviCore line for EmblemHealth Plan, Inc. (formerly GHI) members. HIP members use 866-417-2345.

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.

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Share a call experience

Suggest a contact correction

Suggest a correction

Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

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

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.

See how it could work for your practice