Based on members’ concerns, the AAP sent a
letter to EmblemHealth
objecting to its policy to stop paying primary care physicians for
evoked otoacoustic emissions (OAE) testing for patients older than 12
months provided in the physician’s office. EmblemHealth provides
health insurance in Connecticut, New Jersey and New York. The AAP
letter calls for the carrier to rescind its policy immediately.
AAP members can assist the AAP and their Chapter pediatric councils in
prioritizing payer issues by reporting your payer concerns using the AAP
Hassle Factor Form online.