New Provider Portal Enhancements

04/16/2025

New: Accumulators

We have added accumulators on the member Benefits and Eligibility Details page to show you how many claims we have received against certain benefits that may have limits. This will help you understand whether services you plan to provide will be paid for by our plan or whether you need to arrange payment with your patient.

New: Specialized Area

To submit updates to your NCQA-recognized Specialized Areas, please use the Ask a Question button located on the Provider Profile page in our provider portal. Specialized Areas is not a data element captured in the CAQH application. That is why you need to use our portal to communicate this information to us. Most changes should be submitted using CAQH. See Keep Your Directory Information Current for exceptions.  

Sign in now to see the changes: EmblemHealth | ConnectiCare.

JP 68975 04/2025