UnitedHealthcare Choice Plus is in network for the New York City Employees PPO Plan

What to know about the NYCE PPO Plan

The New York City Employees PPO (NYCE PPO) plan, available in all U.S. states, offers provider network access through EmblemHealth Bridge Program, UnitedHealthcare Choice Plus and Optum Behavioral Health* to New York City employees, pre-Medicare retirees and their eligible dependents.

NYCE service areas and reimbursement rates

Providers are in network for NYCE PPO, as follows:

• EmblemHealth Bridge Program – Provider reimbursement rates apply for covered medical services rendered in the following 13 downstate New York counties:

• UnitedHealthcare Choice Plus – Provider reimbursement rates apply for covered medical services provided throughout the U.S., except in the 13 downstate New York counties covered by EmblemHealth Bridge

• Optum Behavioral Health – Provider reimbursement rates apply for covered behavioral health services provided throughout the U.S., including the downstate 13 New York counties listed above

Payer IDs for EDI claims and payments

EmblemHealth Bridge Program, UnitedHealthcare Choice Plus and United Behavioral Health use the same Electronic Data Interchange (EDI) payer ID codes. Ensure your EDI clearinghouse is set up for the following transactions: 

• Submit EDI 837 claims using payer ID 26992
• Enable EDI 835 payments from payer ID 39026

NYCE PPO provider portal

Whether you’re contracted with EmblemHealth Bridge Program, UnitedHealthcare Choice Plus or United Behavioral Health, you must use the NYCE PPO provider portal to verify member eligibility, submit claims, request prior authorizations and other plan transactions. The UnitedHealthcare Provider Portal and the UMR Provider Portal do not provide access to the NYCE PPO Plan or member information.

Additional resources

• NYCE PPO Provider Center and Portal 
• NYCE PPO Provider Portal FAQs
• NYCE PPO FAQs
• NYCE PPO Behavioral Health Quick Reference Guide

Questions? We’re here to help.

Call NYCE PPO Provider Services at 844-849-5750 or chat with us through the NYCE PPO provider portal. If you need help setting up your clearinghouse transactions, contact the Payer ID Provider Support team at 866-678-8646, Monday–Friday, 8 a.m.–7 p.m. ET.