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Emblemhealth transaction form for group accounts

Emblemhealth transaction form for group accounts 2025

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4.4 out of 5

65 votes

The document is a transaction form for group accounts with EmblemHealth, designed to collect subscriber and dependent information for health insurance enrollment. It includes sections for personal details, prior health insurance information, and employer data. The form outlines the process for new enrollments, reinstatements, terminations, and changes in coverage status. Additionally, it provides important information regarding pre-existing conditions, eligibility for young adult coverage, and documentation requirements based on group size.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (102 Votes)
2012	4.4 Satisfied (65 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you go paperless on EmblemHealth?

To go paperless, sign in to your account, and select the Communication Preferences tab under My Profile. You can request an ID card for yourself or any member on your plan. Sign in to the member portal and select ID Cards in the navigation bar at the top.

What is the payer ID for EmblemHealth?

Claims Contacts CompanyNetworkEDI or Payor ID EmblemHealth Plan, Inc. (formerly GHI) Bridge CBP Tristate National Network Access Medicare Choice 13551 EmblemHealth Plan, Inc. (formerly GHI) Bridge CBP Tristate National Network Access Medicare Choice 135516 more rows

What is the payer ID for EmblemHealth claims?

Submitting claims online Our Electronic Payer ID is 13551. To submit claim attachments, such as X-rays, we recommend using FastAttach, a system of National Electronic Attachment (NEA).

What is the payer ID for claims?

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

What is the format of EmblemHealth member ID?

EmblemHealth uses unique non-Social Security, number-based identification numbers. For most members, this will be an 11-digit alphanumeric member ID. The IDs start with the letter K followed by a unique 8-digit number (a K-ID). The final two digits distinguish the subscriber from each dependent (01, 02, 03, etc.).

What is payer ID 11328?

HealthCare Partners IPA NY. 11328. Due to an event at the payers EDI vendor, the payer is currently unable to receive professional claims.

Are Ghi and EmblemHealth the same?

Group Health Incorporated (GHI), Health Insurance Plan of Greater New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies.

Emblemhealth transaction form for group accounts 2025

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