New York
Provider Communications
Empire announces a new network - Blue Access
Empire members that are covered under a benefit plan that utilizes the Blue Access network will have member ID cards that read “Blue Access” at the top of their member ID card. If you are included as a provider in the Blue Access network, it is important for you to understand that this is a limited provider network. Benefit plans offered on the Blue Access network will not cover out of network providers services; therefore, please confirm a provider’s participation status with Empire’s Find a Doctor tool found on empireblue.com prior to referring to or scheduling services with another provider.
Only participating Blue Access providers should be used for Empire members that are covered under a benefit plan that uses the Blue Access network. 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 empireblue.com. Failure to refer patients to a participating provider could result in increased out of pocket costs for our members.
Small Group Health Benefit Plans utilizing the Blue Access network:
Product |
Network Name |
Medical Product Type |
Small Group Health Benefit Plans Description |
BCA Prefix |
Small Group |
Blue Access |
EPO |
Empire Bronze Blue Access EPO Empire Gold Blue Access EPO Empire Platinum Blue Access EPO Empire Silver Blue Access EPO |
YXE |
Small Group |
Blue Access |
Gatekeeper EPO |
Empire Bronze Blue Access GEPO* Empire Gold Blue Access GEPO* Empire Platinum Blue Access GEPO* Empire Silver Blue Access GEPO* |
XNU |
Small Group |
Blue Access |
HSA-HMO |
Empire Bronze Blue Access HMO* Empire Gold Healthy New York Blue Access HMO* |
YXC YXD |
*PCP and Referrals required
Featured In:
December 2018 Empire Provider Newsletter