New York
Provider Communications
Announcing a New Network - Connection
Empire members enrolled under a benefit plan that utilizes the Connection network will have member ID cards that read “Connection” at the top of their member ID card. If you are included as a provider in the Connection network, it is important for you to remember that this is a limited provider network. The product offered under the Connection network is Gatekeeper EPO (GEPO and EPO).
The EPO and GEPO plans will not offer coverage for services received by out of network providers; therefore, please confirm a provider’s participation status with Empire’s Find a Doctor tool found on www.empireblue.com prior to referring to or scheduling services with another provider
Should a non-participating provider be required, Empire’s Use of a Non-Participating Provider Advance Patient Notice Policy will apply. As a reminder, Empire’s Advance Patient Notice form can be found at www.empireblue.com/provider. Failure to refer patients to a participating provider could result in claim denials and increased out of pocket costs for our members.
The prefixes used for the Connection Network are:
Product |
Network Name |
Medical Product Type |
BCA Prefix |
Small Group |
Connection |
EPO |
CJL |
Small Group |
Connection |
Gatekeeper EPO |
CJV |
Small Group |
Connection |
HSA-HMO |
XBJ |
Large Group |
Connection |
Gatekeeper EPO |
BCW |
Large Group |
Connection |
EPO |
BKT |
Featured In:
December 2019 Empire Provider News