Overview of Referrals and Prior Authorizations Specialist Referral Process Referral Process Tool HCP Preferred Specialist Network and Centers of Excellence Prior Authorization Process Prior Authorization Process Tool Submit a Prior Authorization Request PCP Services NOT Requiring Prior Authorization Specialty Care Services NOT Requiring Prior Authorization – PSN Specialists Prior Authorization – Hospital & Facility-Based Services Prior Authorization – Preventive Care Services Prior Authorization – Radiology Services Prior Authorization – Injectable Medications Prior Authorization – Lab and Pathology Services Prior Authorization – Physical and Occupational Therapy Prior Authorization – Cohort 2 Utilization Management Programs View an existing Prior Authorization Request Peer-to-Peer Appeals Process

Claims Submission for EmblemHealth Patients Claims Submission for Empire Medicare Advantage Patients Claims Submission for All Other HCP Patients Track HCP Claims with EZ-Net

Access Clinical Support Services Case Management Real Time Resolution™ Center Pharmacy Support Services Home Infusion Community Member Advocates Knee Arthritis and AposHealth^® Home-Based Medical Assessments Social Work and Behavioral Health Community Resources Social Determinants of Health Hospice and Palliative Care Starting the Hospice Conversation

Quality Tools Quality Incentive Program Clinical Quality Support Provider Dashboard

Update Your Practice Demographic Information Recredentialing Guide Appointment Availability Standards Sign up for Electronic Funds Transfer HCP Compliance Program Group Medical Malpractice Insurance Healthix Connectivity Program Group Medical and Office Supplies Discounts Immunization Contract Pricing Contact your Provider Relations Specialist Contact Customer Service Contact Quality Support Team EZ-Net Training Identifying EmblemHealth Cohort2 Patients

Medical Advisory Committee Dinners Regional Office Managers Meetings