SendFAXMail

EmblemHealth Fax Number — Prior Authorizations, Claims, and Appeals

EmblemHealth, a New York insurer that includes the GHI and HIP plans, routes faxes by department and plan, so there is no single number for every request. A prior-authorization fax goes to the line printed on the authorization form for that service or drug, and an appeal or grievance goes to the number on the denial letter you are answering. Providers confirm current fax lines through EmblemHealth's provider portal, while members find claims and customer-service contacts on the ID card. Because GHI, HIP, and Medicare plans can route to different teams, match the fax line to the plan named on the card before you send.

Encrypted in transit (TLS)
HIPAA BAA included
US-based fax numbers
No activation fees
No contracts
7-day free trial

EmblemHealth Fax Number

Use the fax line printed on your EmblemHealth prior-authorization form, denial notice, or the back of your member ID card for that plan

Hours: EmblemHealth authorization and appeals departments typically operate Monday through Friday during business hours in the Eastern time zone. Fax lines accept documents at all times, but reviews start on the next business day for anything sent after hours.

Send a Fax Now

What You Can Fax to EmblemHealth

  • Prior-authorization and pre-service requests
  • Claim submissions and corrected claims
  • Appeals and grievances after a coverage denial
  • Coordination-of-benefits and other-insurance forms
  • Medical records and clinical documentation for a review
Tip: An EmblemHealth fax about a patient contains protected health information, so use a HIPAA-eligible service and mark every page with the member ID, plan name, and date of birth in case pages get separated during scanning. Send FAX Mail's HIPAA-eligible Business plan ($79.99/month) supports this workflow and gives you a transmission receipt to file against the authorization or appeal deadline. Add the claim or authorization reference number to the cover sheet so reviewers can connect your fax to the open request.

Faxing to EmblemHealth — FAQ

Not necessarily. EmblemHealth's GHI and HIP plans, along with its Medicare products, can route to separate intake teams, and each publishes its own fax line on the matching form. Check which plan the member card names before choosing a number.

The appeal fax line and the filing deadline are both printed on the EmblemHealth denial or coverage-determination notice for that service. Fax the appeal before the stated date and keep the delivery confirmation as proof of timely filing.

Log in to the EmblemHealth provider portal and open the current authorization request form for the specific service or medication; the fax line is in the submission instructions. Because forms are updated periodically, download a fresh one instead of reusing a stored copy.

Members are generally directed to mail paper claims to the address on the claim form, but the customer-service number on the back of the ID card can confirm whether a fax option exists for your plan. In-network providers submit claims through the channels their provider portal specifies.

Need to fax EmblemHealth?

Upload your document and send in under a minute. No fax machine needed.

7-day free trial · No credit card required