New York
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Information from Empire for Care Providers about COVID-19 (Updated June 4, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
COVID-19 Information Administrative Jun 4, 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

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

Effective May 2, 2020, Empire is waiving cost sharing for in-network outpatient mental health services for all New York fully-insured members, including essential workers.
COVID-19 Information Administrative May 15, 2020

Important update and clarity regarding National Medical Funding Services

COVID-19 Information Administrative May 8, 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

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

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

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

Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Empire Provider News Administrative Sep 1, 2019

Empire customization's to MCG care guidelines 23rd edition

August 2019 Empire Provider News Administrative Aug 1, 2019

New online Provider Manual page

August 2019 Empire Provider News Administrative Aug 1, 2019

Clinical Validation - Professional

July 2019 Empire Provider News Administrative Jul 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Empire Provider News Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Empire Provider News Administrative Jul 1, 2019

CRA Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

July 2019 Empire Provider News Administrative Jul 1, 2019

Updated Provider Manual now available

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire launches additional changes to empireblue.com for Q2

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Find A Doctor: New Sort Option

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Coming Soon: Empire Electronic Attachments

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Change coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Empire CRA Reporting Update: Retrospective Program begins

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Update: Sepsis Coding

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Lab services reminder for Employee Health Plan of Suffolk County

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available online

June 2019 Empire Provider Newsletter Administrative Jun 1, 2019

Electronic Member ID Cards: Easy online access on the Availity Portal

May 2019 Empire Provider Newsletter Administrative May 1, 2019

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

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Be sure to verify your demographic information

May 2019 Empire Provider Newsletter Administrative May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Empire CRA Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Empire Provider Newsletter Administrative May 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Empire Contracted Ambulance Providers

May 2019 Empire Provider Newsletter Administrative May 1, 2019

Empire CRA Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

New on Interactive Care Reviewer: Request Clinical Appeals

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Empire Provider Newsletter Administrative Apr 1, 2019

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

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Attention: Updated or New Fee Schedules for Commercial products

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Site of Service Update

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019

Empire launches additional changes to empireblue.com in March

March 2019 Empire Provider Newsletter Administrative Mar 1, 2019
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