OrthoNet

Prior authorization

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

prior authorization

OrthoNet — EmblemHealth — spine surgery and pain management therapies

Official page read
Phone844-730-8503Fax

844-296-4440

Published hours

Customer service 8:30 a.m. – 5:30 p.m., Monday – Friday

Product, plan and location

commercial · medicaid · medicare advantage
New York

Mailing address
OrthoNet EmblemHealth Appeals P.O. Box 5046 White Plains, NY 10602-5046

Appeals of denied EmblemHealth spine/pain preauthorization requests

EmblemHealth Spine Surgery and Pain Management Therapies Program: fax the OrthoNet EmblemHealth prior authorization request form with clinical notes; call customer service for status checks and commercial/Medicaid peer-to-peer or reconsideration. Appeals of denied preauthorizations (commercial/Medicaid) may be faxed to the same number or mailed.

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

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

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  • Ordering and rendering provider details
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  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

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