EmblemHealth Provider Network Change
Effective Dec. 31, 2023, Palladian Health (Palladian), and its associated providers, will no longer participate in EmblemHealth’s networks. Additionally, Palladian will no longer perform utilization management and claims payment for EmblemHealth members beginning after the termination date. Preauthorization requests and claims submitted to Palladian for dates of service prior to the termination date will be handled by Palladian.
For dates of service beginning Jan. 1, 2024, the provision of physical therapy, occupational therapy, and chiropractic care for EmblemHealth members will transition from Palladian to EmblemHealth. Preauthorizations and referrals will no longer be required. Claims for these services should be submitted to EmblemHealth or the managing entity as listed on the member’s ID card. Claims contacts are also listed in the Directory chapter of our Provider Manual.
HeathCare Partners Provider Network Changes
As of, January 1, 2024, eviCore healthcare (“eviCore”) will no longer offer health plan sponsored services through your Palladian/eviCore PNP Agreement for the Emblem program.
This program termination is effective December 31, 2023. Please continue to treat Emblem Health members and submit claims to Palladian for all dates of service prior to January 1, 2024.
Important: The HealthCare partners program will remain with no changes and you can continue to treat this Emblem membership as you do today.
Should you have any questions regarding this notification, please email the eviCore Network Team at questions.netdev@evicore.com.
Thank you for your cooperation.