New York
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Nominate someone today for the Empire Whole Health Heroes Awards

Empire Whole Health Heroes Awards Administrative Oct 20, 2020

Information from Empire for Care Providers about COVID-19 (Updated October 9, 2020)

We recently updated FAQs about COVID-19 testing and visits associated with COVID-19 testing.

COVID-19 Information Administrative Oct 9, 2020

Keep up with important news from Empire and receive notifications by email

October 2020 Empire Provider News Administrative Oct 1, 2020

New Digital Provider Enrollment tool added to Availity for New York

October 2020 Empire Provider News Administrative Oct 1, 2020

New Blue HPN® network included in plans available for employee open enrollment Fall 2020

October 2020 Empire Provider News Administrative Oct 1, 2020

Charges for Personal Protective Equipment by Participating Providers

October 2020 Empire Provider News Administrative Oct 1, 2020

Electronic member ID cards available on the Availity Portal

October 2020 Empire Provider News Administrative Oct 1, 2020

Empire Chat: A fast, easy way to have your questions answered

October 2020 Empire Provider News Administrative Oct 1, 2020

Interactive Care Reviewer adds outpatient medical authorization requests for Empire local, State and City plans

October 2020 Empire Provider News Administrative Oct 1, 2020

Request referrals for Empire Individual Network Plan through Interactive Care Reviewer

October 2020 Empire Provider News Administrative Oct 1, 2020

New Medical Claim Attachment Webinars: Register Today

October 2020 Empire Provider News Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Empire Provider News Administrative Oct 1, 2020

CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Empire Provider News Administrative Oct 1, 2020

What Matters Most: Improving the Patient Experience

October 2020 Empire Provider News Administrative Oct 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Empire Provider News Administrative Sep 1, 2020

EDI gateway migration deadline is September 15, 2020

September 2020 Empire Provider News Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Empire Provider News Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Empire Provider News Administrative Sep 1, 2020

Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist module

September 2020 Empire Provider News Administrative Sep 1, 2020

CRA reporting update: 2020 prospective program continues

September 2020 Empire Provider News Administrative Sep 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Empire Provider News Administrative Sep 1, 2020

New York Department of Financial Services Circular Letter on PPE

The New York Department of Financial Services (“DFS”) recently issued a circular letter, “Charges for Personal Protective Equipment by Participating Providers”.  In support with the letter, Empire is sharing with participating providers their responsibilities and working with providers to report the findings to DFS.
COVID-19 Information Administrative Aug 25, 2020

Mental Health Services for Fully Insured New York Members including Essential Workers

Effective May 2, 2020, Empire began waiving cost sharing for in-network outpatient mental health services for all New York fully-insured members, including essential workers.  This waiver will be in effect until September 28, 2020, unless further extended.
COVID-19 Information Administrative Aug 13, 2020

Migrate Your EDI Transactions to Availity Today

August 2020 Empire Provider News Administrative Aug 1, 2020

Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Empire Provider News Administrative Aug 1, 2020

Empire Electronic Attachments - X12 275 5010

August 2020 Empire Provider News Administrative Aug 1, 2020

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

August 2020 Empire Provider News Administrative Aug 1, 2020

Medical Record Standards

August 2020 Empire Provider News Administrative Aug 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Empire Provider News Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Empire Provider News Administrative Aug 1, 2020

Changes to Annual Verification Process

July 2020 Empire Provider News Administrative Jul 1, 2020

Suffolk County Lab Network

July 2020 Empire Provider News Administrative Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Empire Provider News Administrative Jul 1, 2020

Claims Status Listing & Remittance Inquiry Updates for Atypical Providers

July 2020 Empire Provider News Administrative Jul 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Empire Provider News Administrative Jul 1, 2020

CRA Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

July 2020 Empire Provider News Administrative Jul 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Empire hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information Administrative Jun 25, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

COVID-19 Information Administrative Jun 1, 2020

Be sure to notify Empire of changes to your demographic data

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire to change ID numbers for City of New York members

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire Covers HIV PrEP Medications at 100% for prevention

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Empire Provider News Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Empire Provider News Administrative Jun 1, 2020

Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care

June 2020 Empire Provider News Administrative Jun 1, 2020

Empire Waives Cost Share for COVID-19 Treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

COVID-19 Information repository for Empire Care Providers

May 2020 Empire Provider News Administrative May 1, 2020

Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Empire Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS Guidance

May 2020 Empire Provider News Administrative May 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.

COVID-19 Information Administrative Apr 28, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Empire has complied information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information Administrative Apr 15, 2020

Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19, Provider Visits to Diagnose COVID-19, and all Telehealth Services

COVID-19 Information Administrative Apr 6, 2020

Information from Empire for Care Providers about COVID-19

April 2020 Empire Provider News Administrative Apr 1, 2020

Anthem, Inc., Empire’s parent company, acquires Beacon Health Options

April 2020 Empire Provider News Administrative Apr 1, 2020

Provider Transparency Update

April 2020 Empire Provider News Administrative Apr 1, 2020

Empire continues focus on updates to our public provider website

April 2020 Empire Provider News Administrative Apr 1, 2020

MCG Care Guidelines 24th Edition

April 2020 Empire Provider News Administrative Apr 1, 2020

Empire Suspends Certain Authorization Requirements to Aid NYS COVID-19 Response

COVID-19 Information Administrative Mar 27, 2020

Anthem, Inc. acquires Beacon Health Options

N/A Administrative Mar 2, 2020

Attention: Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment

March 2020 Empire Provider News Administrative Mar 1, 2020

Provider News Site Enhancements

March 2020 Empire Provider News Administrative Mar 1, 2020

Physician Access/Appointment Availability Standards General Availability Standards

March 2020 Empire Provider News Administrative Mar 1, 2020

Patient360 Enhancement for Medical Providers

March 2020 Empire Provider News Administrative Mar 1, 2020

Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Empire Provider News Administrative Mar 1, 2020

Modifier use reminders

March 2020 Empire Provider News Administrative Mar 1, 2020

Important coding reminder for Walk-In Retail Health Clinics

March 2020 Empire Provider News Administrative Mar 1, 2020

NYSHIP (New York State Health Insurance Program) change in immunization claim submissions

February 2020 Empire Provider News Administrative Feb 1, 2020

Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Empire Provider News Administrative Feb 1, 2020

The New Year brings New ID Cards for Many Empire Members

January 2020 Empire Provider News Administrative Jan 1, 2020

Appointment access standards for PCPs, specialty care and behavioral health practitioners

January 2020 Empire Provider News Administrative Jan 1, 2020

Availity providers can now receive and respond to medical record requests for post pay audit February 10, 2020

January 2020 Empire Provider News Administrative Jan 1, 2020

Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Empire Provider News Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To Do List” Early - EDI Migration

January 2020 Empire Provider News Administrative Jan 1, 2020

Remittance Inquiry Tool Reminder

January 2020 Empire Provider News Administrative Jan 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Empire Provider News Administrative Jan 1, 2020

NYSHIP (New York State Health Insurance Program) change in Hyperbaric Oxygen Therapy claim submissions

January 2020 Empire Provider News Administrative Jan 1, 2020

2020 Network Changes

December 2019 Empire Provider News Administrative Dec 1, 2019

Announcing a New Network - Connection

December 2019 Empire Provider News Administrative Dec 1, 2019

Blue Access Expands to Include Large Groups

December 2019 Empire Provider News Administrative Dec 1, 2019

New - Individual Network

December 2019 Empire Provider News Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Empire Provider News Administrative Dec 1, 2019

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Empire Provider News Administrative Dec 1, 2019

Empire BCBS HealthPlus to be removed from Availity’s Payer Menu

December 2019 Empire Provider News Administrative Dec 1, 2019

Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

December 2019 Empire Provider News Administrative Dec 1, 2019

Coordination of Care

December 2019 Empire Provider News Administrative Dec 1, 2019

Important Information about Utilization Management

December 2019 Empire Provider News Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Empire Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on empireblue.com/provider

December 2019 Empire Provider News Administrative Dec 1, 2019

Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019

November 2019 Empire Provider News Administrative Nov 1, 2019

Additional improvements coming to empireblue.com

November 2019 Empire Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Empire Provider News Administrative Nov 1, 2019

Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips

Critical information from Empire Administrative Oct 8, 2019

Empire launches additional changes to empireblue.com/provider

October 2019 Empire Provider News Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Empire Provider News Administrative Oct 1, 2019

Empire CRA Reporting Update: Retrospective Program continues

October 2019 Empire Provider News Administrative Oct 1, 2019

Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Empire Provider News Administrative Oct 1, 2019

Reminder: Changes to timely filing requirements for Medicare Advantage

September 2019 Empire Provider News Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Empire Provider News Administrative Sep 1, 2019

Empire launches Sydney on September 1; New app offers better digital health care support to members

September 2019 Empire Provider News Administrative Sep 1, 2019

Reminder about lab services for Suffolk County members

September 2019 Empire Provider News Administrative Sep 1, 2019
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