Contact Us

Contact Us

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

EZNetHelpDesk@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: (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.

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 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

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.

Membership Eligibility

To verify the eligibility of a member, including effective dates and the assigned PCP.

  • EZ-Net

  • 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