Important Contacts
View and download our Contact Aid to use in your office.
Main Corporate Telephone Number & Directory
Monday through Friday, from 8:30 a.m. to 5:30 p.m.
(888) 746-2200
Customer Engagement Center
(800) 877-7587 available 24/7
Email: provrel@hcpipa.com
Real-Time Resolution™ Line
Assistance with urgent, time-sensitive clinical needs
(866) 925-0199; available 24/7
Credentialing Department
Phone: (516) 746-2200
Fax: (516) 515-8843
Email: credentialing@hcpipa.com
EZ-Net Help Desk
Monday through Friday, from 8:30 a.m. to 5:30 p.m.
(516) 394-5639
Authorizations
Authorization Submission
Information on how to submit a request for services.
Customer Engagement Center: (800) 877-7587
Submit an Authorization via FAX: (888) 746-6433
Authorization Status
To check the status of previously submitted services. (Please allow at least two business days for processing of non-urgent requests).
EmblemHealth HCP Direct patients: (800) 877-7587
Empire: (844) 638-0404
Specialist Referrals and The Fast Track Line
Assistance with locating a Preferred Network Specialist and scheduling an appointment for patients.
Fast Track Line: (855) 324-9400
Peer-to-Peer Review
Speak with an HCP Medical Director to discuss an authorization denial or for a consultation about a patient’s medical condition.
Peer-to-Peer Review Line: (516) 394-5790
Notification of Hospital Admissions
Notify HCP of scheduled/emergency hospital admissions.
Hospital Admission Notification via FAX (516) 515-8808
Claims Submission
Information on how to submit claims electronically or by mail.
Claims Submission for EmblemHealth Patients
EmblemHealth HCP Direct
EDI via Change Healthcare use Payer ID: 11328
Paper:
HealthCare Partners, MSO
Attn: Claims
501 Franklin Avenue, Suite 300
Garden City, NY 11530
EmblemHealth Behavioral Health
EDI: Contact Beacon Health Options
Paper:
EmblemHealth Behavioral Health Claim Services
P.O. Box 1850
Hicksville, NY 11802-1850
Palladian Physical and Occupational Therapy
EDI via Change Healthcare use Payer ID: 37268
Paper:
Palladian Muscular Skeletal Health
PO Box 366
Lancaster, NY 14086
Claims Submission for Empire Medicare Advantage Patients
Empire HCP DIRECT Medicare Advantage
EDI via Change Healthcare use Payer ID: 11328
Paper:
HealthCare Partners
Attn: Claims
501 Franklin Avenue, Suite 300
Garden City, NY 11530
All other Empire Medicare Advantage
Submit electronically through Availity
Claims Status
To check claim status and receive explanation of processing for previously submitted claims. Please allow 30 days from the date of submission for processing.
Emblem Health HCP Direct: (800) 877-7587
Empire: (844) 638-0404
Email: claims@hcpipa.com (secure email only)
Membership Eligibility
To verify the eligibility of a member, including effective dates and the assigned PCP.
Emblem Health HCP DIRECT: (800) 877-7587
Empire: (844) 638-0404
Managing Patient Care
Case Management
Connect with a nurse case manager to receive timely assistance in managing patients with a higher than normal risk for developing a particular disease defined by a measurable parameter.
(888) 258-0309
Hospice and Palliative Care
Information about referring patients for a Hospice or Palliative Care evaluation
(516) 515-8847
Pharmacy Help Desk
(516) 515-8861
New York Home Health Care (NYHHC)
Strives to provide quality medical equipment & supplies to customers across the NY metropolitan area.
Phone: (516) 506-0823
Fax: (516) 506-0823
Quality Support Team
Inquiries & support for physicians and members related to achieving HEDIS, STAR, and quality measures
(800) 877-7587
Risk Adjustment
Connect with a dedicated team of specialists, analysts, clinicians, and other personnel committed to ensuring that risk scores for HCP members appropriately represent their acuity.
(516) 394-5660
Social Work/Behavioral Health
(516) 394-5650