Effective January 1, 2020, Empire BlueCross BlueShield (“Empire”) will be launching the Blue Access Network t for Large Groups.  For questions about your participation status, contact your network relations consultant. 

 

Empire members enrolled 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 remember that this is a limited provider network. The products offered under the Blue Access network are PPO, Gatekeeper EPO (GEPO), EPO and HMO. 

 

The EPO, HMO 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.

 

Large Group Health Benefit Plans utilizing the Blue Access network:

 

Product Name

Network Prefix

Empire Gold Healthy New York Blue Access HMO*

YXD

Empire Gold Healthy New York Blue Access GEPO*

XNU

Empire Gold Blue Access GEPO*

XNU

Empire Gold Blue Access EPO

YXE

Empire Bronze Blue Access HMO  w/HSA*

YXC

Empire Blue Access PPO with HSA

CFT

Empire Blue Access PPO with HRA

CFT

Empire Blue Access PPO

CFT

Empire Blue Access GEPO with HSA*

KIG

Empire Blue Access GEPO with HRA*

KIG

Empire Blue Access GEPO*

KIG

Empire Bronze Blue Access X GEPO*

BGW

Empire Platinum Blue Access X GEPO*

BAW

Empire Blue Access EPO with HSA

KIH

Empire Blue Access EPO with HSA

KIH

Empire Blue Access EPO with HRA

KIH

Empire Blue Access EPO

KIH

Empire Blue Access EPO

KIH

 

*PCP and Referrals required

 



Featured In:
December 2019 Empire Provider News