All authorizations submitted to OrthoNet prior to June 1, 2026 will continue to be processed in OrthoNet. Transition to the new Optum Spine Pain and Joint Provider Portal using CareAccess Suite is now complete. New submissions will be processed in the new Portal as detailed below.
Submit Online
If you are logging into the portal to submit on behalf of EmblemHealth or Healthfirst: Click Here
If you want to check the status of a previously submitted authorization: Click Here
Health Plan Contracts
Important Update for Providers June1, 2026: The new Optum Spine, Pain, and Joint Provider Portal is now live. All users of the OrthoNet Provider Portal will be redirected to the new Optum Provider Portal for new submissions using the links above. Existing users can continue logging in with their One Healthcare ID (OHID). New users will need to create an OHID to access the updated portal. Providers can continue to login to the OrthoNet portal to see status for previously submitted authorization requests.
Providers are encouraged to review the Portal FAQ documents linked below for additional information.
EmblemHealth
EmblemHealth has delegated utilization management for select spine surgery and interventional pain management therapy procedures to OrthoNet. The Program requires that the treating clinician obtain prior approval for spine surgery and interventional pain management procedures defined by a list of CPT/ICD codes. For a full list of spine surgery and interventional pain management therapy codes that require prior approval please visit emblemhealth.com. As with all utilization management programs, this Program will determine if the proposed service meets the definition of medical necessity under the member's benefit plan.
Healthfirst
Healthfirst has delegated the utilization management of spine surgery, as well as interventional pain management procedures (not including trigger point injections) in all outpatient settings to OrthoNet. To review authorization requirements, go to https://hfproviders.org.
Services for members covered by Healthfirst's programs require prior authorization through OrthoNet. Healthfirst will continue to provide all other related services for these procedures such as claim payment, patient case management, member and provider services.