New York
Provider Communications
Prior authorization requirements for the below codes (December 1, 2020)
On December 1, 2020, Empire BlueCross BlueShield prior authorization (PA) requirements will change for codes below. Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions take precedence over these precertification rules and must be considered first when determining coverage. Noncompliance with new requirements may result in denied claims.
Featured In:
October 2020 Empire Provider News
See attached for a list of prior authorization requirements that will be added.
Not all prior authorization requirements are listed here. Prior authorization requirements are available to contracted providers by accessing the Provider Self-Service Tool at www.availity.com at https://www.empireblue.com/medicareprovider > Login. Contracted and noncontracted providers who are unable to access Availity* may call the number on the back of the member’s ID card.
Featured In:
October 2020 Empire Provider News