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This is the latest manifestation of my ongoing problems with Advantage Care Physicians / Emblem Health. All the permanent PCP doctors, including my previous doctor, left their facility in Lake Success, NY, leaving nothing there but temporary doctors and autocratic,...
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#1345584
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After falling behind on paying my premiums, I was finally able to get caught up and make a payment so that my insurance would be active for a CT SCAN I needed. Not only did the company on several occasions tell me they would contact me when it was approved (it was),...
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1.0
I didn't like
  • Customer service
#1340920
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Emblem Health (HIP, GHI) has become a disaster for professional providers billing departments. The excessive hold (1-3 hours) is inexcusable. The EOB's (explanation of benefits) does not give a clear cut reason for the decision regarding your claim. The "codes" have no...
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Anonymous
Marie J

I am in the middle of a nightmare with them as well trying to obtain a pre-authorization request for a potential patient. I can't tell you how many calls, holds, faxes and STI...

1.0
I didn't like
  • Treatment of the professional providers claims
#1302637
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Emblem Health uses all sorts of pretexts to avoid members to receive the reimbursement for medical claims they are contractually entitled to get. While other insurance companies post online claims received within 48 hours, Emblem takes one month to process them. They...
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1.0
#1297406
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Emblemhealth - On hold 5 days in a row over 2 hours

I need to speak to a representative and I have been calling and remain on hold since 6/25 daily. As a practitioner myself, I’m embarrassed to be associated with this company.
1.0
Details
Customer service
#1293833
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GHI/EMBLEM HEALTH straighten out your computers. Now you have refused a cross-over from Medicare claiming not to have received it. On February 2/28/18 Medicare sent over a crossover bill for NYU Langone to GHI/Emblem health. It was refused and returned to them with no...
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Anonymous
Candi

Corporate Motto : "Delay and Deny" . Welcome to world of insurance.

3.0
#1267367
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Please do yourself a favor and avoid this company at all costs. Their claims department is the worst I have ever dealt with. The last 2 claims I have been dealing with, are 6 and 7 months old, with no resolution in sight. I have contacted them at least 10 times over...
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1.3
#1132254
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was dropped by Oxford because they stopped insuring individuals in New York (thanks Obamacare!!) Believe it or not, I loved that insurance company. They paid claims promptly, had incredibly knowledgeable and gracious customer services reps, and had extremely detailed...
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#1053996
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Before you make a final decision: 1. If you choose to use Advantagecare Physicians you will have to use their doctors and offices FIRST!!! So what does this men? If you are looking to see a specialist they will refer you to one of the doctors in their network...
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Anonymous
Anonymous

Hello there....Are you saying that your primary care physician will not give you a referral to a specialist because that specialist is not within the "network of AdvantageCare...

3.0
#803922
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Emblemhealth Health Insurance Review

Twice this has happen to me.I provided the staff with my children new insurance yet I get a bill.Managers are liars because they do not return your call
#791621
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