Contact Us

Contact Us

Important Contacts

Main Corporate Telephone Number & Directory

Monday through Friday from 8:30 a.m. to 5:30 p.m.

1(888) 746-2200

Customer Engagement Center

1(800) 877-7587 available 24/7

Provider Network Services

Email: provrel@hcpipa.com

Authorizations

Authorization Submission

Information on how to submit a request for services.

Authorization Status

To check the status of previously submitted services.  (Please allow at least two business days for processing of non-urgent requests).

  • EZ-Net

  • EmblemHealth HCP Direct patients: 1(800) 877-7587

  • EmblemHealth Cohort 2 patients: 1(844) 346-1499

  • Empire: 1(844) 638-0404

Specialist Referrals and The Fast Track Line

Assistance with locating a Preferred Network Specialist,  providing NOTIFICATION for EmblemHealth Cohort2 services, and scheduling an appointment for patients.

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.

Notification of Hospital Admissions

Notify HCP of scheduled/emergency hospital admissions.

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 Cohort 2

    • EDI via Change Healthcare use Payer ID: 55247

    • Paper:

EmblemHealth
P.O. Box 2845
New York, NY  10116

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

 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.

  • EZ-Net

  • Emblem Health HCP DIRECT: 1(800) 877-7587

  • Emblem Health Cohort 2: 1(866) 447-9717

  • Empire: 1(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.

  • EZ-Net

  • Emblem Health HCP DIRECT: 1(800) 877-7587

  • Emblem Health Cohort 2: 1(866) 447-9717

  • Empire: 1(844) 638-0404

Managing Patient Care

Real Time Resolution™ Line

Assistance with urgent, time-sensitive clinical needs

1(866) 685-8996  available 24/7

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.

1(888) 258-0309

Hospice and Palliative Care

Information about referring patients for a Hospice or Palliative Care evaluation

1(516) 515-8847

Quality Team

Inquiries & support for physicians and members related to achieving HEDIS, STAR and quality measures

1(800) 877-7587

Risk Adjustment Hotline

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.

1(516) 394-5660