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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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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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Crooks, Crooks, Crooks! Whatever you do, DO NOT sign up with Emblem Health. I had the most terrible experience with them, and when I finally switched over to a new health care provider, the continued charging me!!! I must have called over 10 times for a refund and all...
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1.0
#777460
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Contact Emblemhealth

Mailing Address:
55 Water St
New York, New York 10041
United States
Phone:
(800) 447-8255
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The last two times we have had to use our health insurance (once for My wife and once for my daughter) for other than "common medical stuff" we have called Emblem Health and spoken to their representatives to ensure we are going to an in-network provider and we are...
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1.0
#730996
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