New York
Provider Communications

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

The New Year brings New ID Cards for Many Empire Members

Important Update: June 15, 2018 - Access to the Empire Facility / Professional Secure Portals Only on the Availity Portal

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

Engagement with your patient counts

Availity is now our designated EDI Gateway

Anthem, Inc. to acquire Beacon Health Options

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

Introducing Interactive Care Reviewer for Online Authorizations

Upcoming retirement planned for legacy Medical Attachment submission tool

Empire streamlines member identification cards

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

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

Signature requirements for laboratory orders or requisitions

Updated Provider Manual now available

Remittance Inquiry Tool Reminder

EDI gateway migration deadline is September 15, 2020

Receive Direct Deposit of Patient Payments with Healthcare Bill Payments

Patient360 adds care gap alert feedback for medical providers

Reminder: Miscellaneous durable medical equipment billing guideline:

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

Enhanced medical records submission process to support claims processing

IngenioRx will become CarelonRx on January 1, 2023

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

CRA reporting update: 2020 prospective program continues

Empire to enhance claim edits for outpatient facility claims

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

Clinical practice and preventive health guidelines available online

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

Regular check-ins with your clearinghouse could affect timely filing

Migrate Your EDI Transactions to Availity Today

Keep your contact information current

Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Empire Electronic Attachments - X12 275 5010

Physician Office Lab (POL) List - October updates postponed

Anthem, Inc. acquires Beacon Health Options

Coming Soon: Enhance your Prior Authorization and Inpatient Admission

Medical Record Standards

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management

Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

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

Appropriate coding helps provide a comprehensive picture of patients’ health

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

Resources to support diverse patients and communities

Important reminder: New ID cards for many of our Empire BlueCross BlueShield members

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

Attention: Updated or New Fee Schedules for Commercial products

Site of Service Update

Surgical Clinical Site of Care review updates

Proper coding for in-home monitoring can make a measurable difference for INR

Another mark of the pandemic: an increase in childhood obesity

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

Register now to learn strategies to help you and your practice improve clinical quality

Commercial Repapering: Important update

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

The Anthem, Inc. name is changing

HEDIS 2022: Summary of changes from NCQA

City of New York Retirees transition to NYC Medicare Advantage Plus (Updated 12/3/21)

Catching up on routine vaccines

2020 Network Changes

CAA: Update your provider directory information

Announcing a New Network - Connection

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

Empire launches additional changes to empireblue.com in March

Blue Access Expands to Include Large Groups

Latest Updates to EDI Gateway Migration

New - Individual Network

Explore the updates to the Medical Attachment Tool

Verifying and updating your provider information

Provider Transparency Update

Coding Tip for Psychological and Neuropsychological Testing

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

HEDIS 2019: Controlling High Blood Pressure

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

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

Clinical practice and preventive health guidelines available online

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

Coordination of Care

Important Information about Utilization Management

Advancing Mental Health Equity for Youth & Young Adults

Members’ Rights and Responsibilities

March is National Colorectal Cancer Awareness Month

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

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

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10^th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17^th, 12 p.m. or 3 p.m. ET

Register now!

Nominate someone today for the Empire Whole Health Heroes Awards

Register now for our September CME webinars!

Controlling High Blood Pressure and Submitting Compliant Readings

Statin therapy for patients with diabetes

6 SIMPLE strategies to help increase medication adherence

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics

Facility option to receive verbal UM Notifications electronically

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update

Information from Empire for Care Providers about COVID-19 - RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

Submitting prior authorizations is getting easier

Empire is transitioning to the Availity Authorization app

Continuing to explore the intersection of race and disability

Attention lab providers: COVID-19 update regarding reimbursement

Medical Attachment Capability: Itemized Bill and More

Is prior authorization required?

Answering your questions about the new Availity Authorization app