New York
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Register today for The Road to Allyship Forum hosted by Empire and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Empire and Motivo professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invite Administrative Jan 21, 2021

Information from Empire for Care Providers about COVID-19 (Updated January 11, 2021)

We recently updated FAQs about prior authorization requirements suspended for patient transfers from acute IP hospitals to certain facilities.

COVID-19 Information Administrative Jan 11, 2021

Empire's new digital online scheduling feature is now available

January 2021 Empire Provider News Administrative Jan 1, 2021

Find out in seconds why your claim denied

January 2021 Empire Provider News Administrative Jan 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Empire Provider News Administrative Jan 1, 2021

Availity Attachment tools for Empire and affiliate payers – Live webinars

January 2021 Empire Provider News Administrative Jan 1, 2021

New features added to Interactive Care Reviewer

January 2021 Empire Provider News Administrative Jan 1, 2021

Professional system updates for 2021

January 2021 Empire Provider News Administrative Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Empire Provider News Administrative Jan 1, 2021

It is almost CAHPS survey time

January 2021 Empire Provider News Administrative Jan 1, 2021

Empire makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Empire Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Empire Provider News Administrative Dec 1, 2020

New Blue HPN® plans go live January 1, 2021

December 2020 Empire Provider News Administrative Dec 1, 2020

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

December 2020 Empire Provider News Administrative Dec 1, 2020

Anthem, Inc. and Quest Diagnostics Form Strategic Relationship

December 2020 Empire Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Empire Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Empire Provider News Administrative Dec 1, 2020

Empire contracted Air Ambulance providers

December 2020 Empire Provider News Administrative Dec 1, 2020

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

December 2020 Empire Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on empireblue.com

December 2020 Empire Provider News Administrative Dec 1, 2020

Coordination of Care

December 2020 Empire Provider News Administrative Dec 1, 2020

Members’ Rights and Responsibilities

December 2020 Empire Provider News Administrative Dec 1, 2020

Important Information about Utilization Management

December 2020 Empire Provider News Administrative Dec 1, 2020

Case Management Program

December 2020 Empire Provider News Administrative Dec 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Empire Provider News Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information

November 2020 Empire Provider News Administrative Nov 1, 2020

Availity Attachment Tools for Empire and Affiliate Payers – Live Webinars

November 2020 Empire Provider News Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Empire Provider News Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Empire Provider News Administrative Nov 1, 2020

Nominate someone today for the Empire Whole Health Heroes Awards

Empire Whole Health Heroes Awards Administrative Oct 20, 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

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

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
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