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July 2020 In The Know

EmblemHealth·NY·Provider News
Effective date
Aug 3, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth is replacing paper check payments with virtual credit cards (vCards) starting September 2, 2020, and implementing new pharmacy preauthorization through Express Scripts starting August 3. Providers must register for EFT/ERA by August 5 to avoid receiving vCard payments instead of direct deposit.

Action Required

Action needed
By August 5, 2020: Billing team must register for PNC Remittance Advantage if you want EFT/ERA payments instead of virtual credit cards. Have your NPI ready when calling Provider Customer Service starting late August. Update patient eligibility verification processes to recognize new K-ID format member IDs for NYC EmblemHealth PPO members - use only first 9 digits when verifying Empire BCBS benefits.