New York
Provider Communications

December 2020 Empire Provider News

Download as PDF

Title Category

Empire makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Access to claim denial information is now self-service

Administrative

New Blue HPN® plans go live January 1, 2021

Administrative

Empire to change ID numbers for Building Service 32BJ Health Fund members

Administrative

Anthem, Inc. and Quest Diagnostics Form Strategic Relationship

Administrative

Prior authorization updates for commercial business effective March 1, 2021

Administrative

PCP after-hours access requirements

Administrative

Empire contracted Air Ambulance providers

Administrative

Videos to engage patients about preventive care available on empireblue.com

Administrative

Clinical practice and preventive health guidelines available on empireblue.com

Administrative

Coordination of Care

Administrative

Members’ Rights and Responsibilities

Administrative

Important Information about Utilization Management

Administrative

Case Management Program

Administrative

Access requirements for behavioral healthcare services

Behavioral Health

Digital transactions cut administrative tasks in half

Medicaid

Sign up to receive email from Empire BlueCross BlueShield HealthPlus

Medicaid

CAHPS education for providers

Medicaid

Notifications on the Availity Portal

Medicaid

Resources to support your pregnant and postpartum patients and their families

Medicaid

Flu vaccination reimbursement

Medicaid

Update to reimbursement policy usage

Medicaid

Keep up with Medicaid news

Medicaid

Updates to AIM Cardiology Clinical Appropriateness Guidelines

Material Adverse Change (MAC) Notification
Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology Clinical Appropriateness Guideline

Material Adverse Change (MAC) Notification
Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical Guidelines

Digital transactions cut administrative tasks in half

Medicare

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

Medicare

2021 Medicare Advantage individual benefits and formularies

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Keep up with Medicare news

Medicare

Prior authorization updates for specialty pharmacy - effective March 1, 2021

Material Adverse Change (MAC) Notification
Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
Pharmacy

Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020

Material Adverse Change (MAC) Notification
Pharmacy

Pharmacy information available on empireblue.com

Pharmacy

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

Products & Programs

Bundled Services and Supplies (Professional)

Reimbursement Policies

Empire expands hospice policy

Reimbursement Policies
Page 1 of 1