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    OpenPayerToolsPayer Contact DirectoryEmblemHealth

    EmblemHealth Contact Directory

    13 contact channels across 2 types (Mailing Address, Phone) for claims, prior authorization, provider services, and more.

    Last verified Aug 25, 2026 from the payer's published directories.

    Phone

    9 rows

    ContactPurposeLine of BusinessHoursNotesSource
    888-447-2526Behavioral HealthAllN/AFor members in plans underwritten by HIP or EmblemHealth Insurance Company (formerly HIPIC); delegated to Carelon Behavioral Health. - EmblemHealth Behavioral Health Services ProgramView source
    212-501-4444Claims StatusCommercialN/AContact for inquiries on EmblemHealth Plan, Inc. (formerly GHI) professional claims for Bridge, CBP, Tristate, National Network Access, Medicare Choice as listedView source
    866-447-9717Claims Status, Eligibility Benefits, Provider Services, Medical ManagementAllMonday to Friday, 8 a.m. to 6 p.m. | Monday through Friday, 8 a.m. to 5 p.m.EmblemHealth for HIP members; utilization and care management. - Contact for inquiries on HIP / EmblemHealth Insurance Company (formerly HIPIC) professional and facility claims and other plans listed in Claims Contacts directory | Provider Services contact listed for New York City Employees PPO plan (also used for claims and general provider questions for this plan) | EmblemHealth Provider Customer Service | Utilization and Care ManagementView source
    888-308-2508DentalAll8 a.m. to 5 p.m., Monday through FridayDentaQuest effective 09/01/2025; Provider Hotline for dental services. - DentaQuest Provider HotlineView source
    844-516-3324PharmacyAll24/7/365Pharmacy services / preauthorization list references medical preauthorization. - Medical preauthorization associated with pharmacy listView source
    866-896-1209PharmacyAllN/APharmacy medical preauthorization list includes a medical number for traditional pharmacy member plan partner fax/electronic/phone table. - Medical preauthorizationView source
    877-251-5896PharmacyAllMonday through Friday, 8 a.m. to 6 p.m.Pharmacy services / preauthorization list references pharmacy medical preauthorization. Pharmacy benefit manager not named in retrieved sources. - Pharmacy Medical Preauthorization ListView source
    Provider Portal onlyPrior AuthorizationAllN/AIf the member is managed by EmblemHealth directly, submit preauthorization requests through the EmblemHealth Provider Portal; no phone contact listed on the retrieved page. - Managed directly by EmblemHealthView source
    800-223-9870Prior Authorization, Medical ManagementAllMonday through Friday, 8 a.m. to 5 p.m.EmblemHealth Plan, Inc. (formerly GHI); submit requests by phone for preauthorization. | EmblemHealth for Non-City of New York members and GHI retirees; utilization and care management. - Coordinated Care Intake department | Utilization and Care ManagementView source

    Mailing Addresses

    4 rows

    ContactPurposeLine of BusinessHoursNotesSource
    EmblemHealth Medical Claims, Attn: Provider Submitted Claims, P.O. Box 2832, New York, NY 10116-2832Claims SubmissionAllN/AEmblemHealth medical claims – provider-submitted claims (PPO or HMO plans) | EmblemHealth professional claims for New York City Employees PPO planView source
    EmblemHealth, P.O. Box 2845, New York, NY 10116-2845Claims SubmissionCommercialN/AHIP / EmblemHealth Insurance Company (formerly HIPIC) professional medical claims for networks listed (Bridge, Enhanced Care, Prime, Prime VIP, Prime Bold, Reserve, Millennium, Select Care)View source
    EmblemHealth Hospital Claims, P.O. Box 2833, New York, NY 10116-2833Claims SubmissionAllN/AEmblemHealth hospital claims (PPO or HMO plans) | EmblemHealth facility claims for New York City Employees PPO planView source
    EmblemHealth, P.O. Box 2803, New York, NY 10116-2803Claims SubmissionCommercialN/AHIP / EmblemHealth Insurance Company (formerly HIPIC) facility claims for networks listed (Bridge, Enhanced Care, Prime, Prime VIP, Prime Bold, Reserve, Millennium, Select Care)View source

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    More from EmblemHealth

    • EmblemHealth prior authorization
    • EmblemHealth coverage criteria
    • All EmblemHealth policy updates

    More from EmblemHealth

    • EmblemHealth prior authorization
    • EmblemHealth coverage criteria
    • All EmblemHealth policy updates

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    Where this data comes from

    Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.

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