Overview of Referrals and Prior Authorizations Specialist Referral Process Referral Process Tool HCP Preferred Specialists 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 – Preferred 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 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 Apos^® 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 Provider Incentive Program Clinical Quality Support Provider Portal

Update Your Practice Demographic Information Re-credentialing 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 EZ-Net Training Identifying HCP Direct Patients

Medical Advisory Committee Dinners Regional Office Managers Meetings