Empire reviews and updates our online Provider Manuals annually.  The updated manual is now available online at empireblue.com/provider > Click “Find Resources in New York” > Provider Home >  Communications > Empire’s Provider Manual. The following changes are effective July 1, 2019:

 

New for 2019:

  • Claims Payment Disputes
  • Medical Records Submission
  • Reimbursement Guidelines and Policies

 

Updated for 2019:

  • AIM Specialty Health
  • Availity Portal
  • Centers of Medical Excellence
  • Claims Filing Tips
  • Coordination of Benefits
  • Credentialing
  • EDI
  • FEHBP
  • Fraud Waste and Abuse Detection
  • General Introduction
  • HIX
  • Medical Policy
  • Medicare Advantage
  • Multicultural Health
  • Overpayment-Cost Containment
  • Overview of CAHPS
  • Overview of HEDIS®
  • Pharmacy Home
  • Quality Improvement
  • Quality of Care Investigations
  • Utilization Management

 



Featured In:
June 2019 Empire Provider Newsletter