New York
Provider Communications

Articles Category: Administrative

Title	Publication	Category	Date
Information from Empire for Care Providers about COVID-19 (Updated September 14,2020) We recently updated FAQs about the cost share waiver for COVID-19 testing and visits associated with COVID-19 testing.	COVID-19 Information	Administrative	Sep 14, 2020
New provider directory indicators for medication assisted treatment (MAT) providers	September 2020 Empire Provider News	Administrative	Sep 1, 2020
EDI gateway migration deadline is September 15, 2020	September 2020 Empire Provider News	Administrative	Sep 1, 2020
Patient360 adds care gap alert feedback for medical providers	September 2020 Empire Provider News	Administrative	Sep 1, 2020
Enhanced medical records submission process to support claims processing	September 2020 Empire Provider News	Administrative	Sep 1, 2020
Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist module	September 2020 Empire Provider News	Administrative	Sep 1, 2020
CRA reporting update: 2020 prospective program continues	September 2020 Empire Provider News	Administrative	Sep 1, 2020
Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions	September 2020 Empire Provider News	Administrative	Sep 1, 2020
New York Department of Financial Services Circular Letter on PPE The New York Department of Financial Services (“DFS”) recently issued a circular letter, “Charges for Personal Protective Equipment by Participating Providers”. In support with the letter, Empire is sharing with participating providers their responsibilities and working with providers to report the findings to DFS.	COVID-19 Information	Administrative	Aug 25, 2020
Mental Health Services for Fully Insured New York Members including Essential Workers Effective May 2, 2020, Empire began waiving cost sharing for in-network outpatient mental health services for all New York fully-insured members, including essential workers. This waiver will be in effect until September 28, 2020, unless further extended.	COVID-19 Information	Administrative	Aug 13, 2020
Migrate Your EDI Transactions to Availity Today	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Electronic Claims Submission - Clinical Laboratory Improvement Amendments (CLIA)	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Empire Electronic Attachments - X12 275 5010	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Coming Soon: Enhance your Prior Authorization and Inpatient Admission	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Medical Record Standards	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Appropriate coding helps provide a comprehensive picture of patients’ health	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Resources to support diverse patients and communities	August 2020 Empire Provider News	Administrative	Aug 1, 2020
Changes to Annual Verification Process	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Suffolk County Lab Network	July 2020 Empire Provider News	Administrative	Jul 1, 2020
New MCG 24th Edition Guidelines	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Claims Status Listing & Remittance Inquiry Updates for Atypical Providers	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Welcome to the Custom Learning Center in Availity	July 2020 Empire Provider News	Administrative	Jul 1, 2020
CRA Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?	July 2020 Empire Provider News	Administrative	Jul 1, 2020
Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond Empire hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience. Access the webinar recording to learn more about leveraging telehealth for behavioral health services.	COVID-19 Information	Administrative	Jun 25, 2020
A special thank you to Care Providers Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.	COVID-19 Information	Administrative	Jun 1, 2020
Be sure to notify Empire of changes to your demographic data	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire to change ID numbers for City of New York members	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire Covers HIV PrEP Medications at 100% for prevention	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire CRA Program Update: Retrospective Program Begins; Prospective Program Continues	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Availity Portal Notification Center	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Quality Corner: CPT Category II Codes - Collaborating for enhanced patient care	June 2020 Empire Provider News	Administrative	Jun 1, 2020
Empire Waives Cost Share for COVID-19 Treatment (Updated May 29, 2020) Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.	COVID-19 Information	Administrative	May 29, 2020
COVID-19 Information repository for Empire Care Providers	May 2020 Empire Provider News	Administrative	May 1, 2020
Empire Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions	May 2020 Empire Provider News	Administrative	May 1, 2020
Quality Corner - Diabetes HbA1c<8 HEDIS Guidance	May 2020 Empire Provider News	Administrative	May 1, 2020
Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020) Empire hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.	COVID-19 Information	Administrative	Apr 28, 2020
Federal Resources Available for Care Providers and Employers in the Federal CARES Act During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Empire has complied information on programs we have learned about that could provide additional financial relief during this crisis.	COVID-19 Information	Administrative	Apr 15, 2020
Patient Cost-Sharing for Laboratory Tests to Diagnose COVID-19, Provider Visits to Diagnose COVID-19, and all Telehealth Services	COVID-19 Information	Administrative	Apr 6, 2020
Information from Empire for Care Providers about COVID-19	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Anthem, Inc., Empire’s parent company, acquires Beacon Health Options	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Provider Transparency Update	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Empire continues focus on updates to our public provider website	April 2020 Empire Provider News	Administrative	Apr 1, 2020
MCG Care Guidelines 24th Edition	April 2020 Empire Provider News	Administrative	Apr 1, 2020
Empire Suspends Certain Authorization Requirements to Aid NYS COVID-19 Response	COVID-19 Information	Administrative	Mar 27, 2020
Anthem, Inc. acquires Beacon Health Options	N/A	Administrative	Mar 2, 2020
Attention: Revised New York State Department of Health Clauses for Managed Care Provider/IPA/ACO Contracts and Amendment	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Provider News Site Enhancements	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Physician Access/Appointment Availability Standards General Availability Standards	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Patient360 Enhancement for Medical Providers	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Empire CRA Program Update: Medical chart collection for ACA members due March 31, 2020	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Modifier use reminders	March 2020 Empire Provider News	Administrative	Mar 1, 2020
Important coding reminder for Walk-In Retail Health Clinics	March 2020 Empire Provider News	Administrative	Mar 1, 2020
NYSHIP (New York State Health Insurance Program) change in immunization claim submissions	February 2020 Empire Provider News	Administrative	Feb 1, 2020
Empire SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020	February 2020 Empire Provider News	Administrative	Feb 1, 2020
Postponed: Review of professional claims with emergency room level 5 E/M codes	January 2020 Empire Provider News	Administrative	Jan 1, 2020
NYSHIP (New York State Health Insurance Program) change in Hyperbaric Oxygen Therapy claim submissions	January 2020 Empire Provider News	Administrative	Jan 1, 2020
The New Year brings New ID Cards for Many Empire Members	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Appointment access standards for PCPs, specialty care and behavioral health practitioners	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Availity providers can now receive and respond to medical record requests for post pay audit February 10, 2020	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Upcoming retirement planned for legacy Medical Attachment submission tool	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Let Us Help You Accomplish Your 2020 “To Do List” Early - EDI Migration	January 2020 Empire Provider News	Administrative	Jan 1, 2020
Remittance Inquiry Tool Reminder	January 2020 Empire Provider News	Administrative	Jan 1, 2020
2020 Network Changes	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Announcing a New Network - Connection	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Blue Access Expands to Include Large Groups	December 2019 Empire Provider News	Administrative	Dec 1, 2019
New - Individual Network	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Verifying and updating your provider information	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Coding Tip for Psychological and Neuropsychological Testing	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Empire Works to Simplify Payment Recovery Process for National Accounts Membership	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Empire BCBS HealthPlus to be removed from Availity’s Payer Menu	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Coordination of Care	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Important Information about Utilization Management	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Members’ Rights and Responsibilities	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Clinical practice and preventive health guidelines available on empireblue.com/provider	December 2019 Empire Provider News	Administrative	Dec 1, 2019
Changes to timely filing requirements for Commercial plans for all claims submitted to plan on or after October 1, 2019	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Additional improvements coming to empireblue.com	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Appropriate coding helps provide a comprehensive picture of patients’ health	November 2019 Empire Provider News	Administrative	Nov 1, 2019
Get the latest critical information from Empire that impacts you; View Provider News for easy access at your fingertips	Critical information from Empire	Administrative	Oct 8, 2019
Empire launches additional changes to empireblue.com/provider	October 2019 Empire Provider News	Administrative	Oct 1, 2019
National Accounts 2020 Pre-certification list	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire CRA Reporting Update: Retrospective Program continues	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Empire engages Matrix to conduct mobile health clinics and in-home assessments for targeted members	October 2019 Empire Provider News	Administrative	Oct 1, 2019
Reminder: Changes to timely filing requirements for Medicare Advantage	September 2019 Empire Provider News	Administrative	Sep 1, 2019
PCP after-hours access requirements	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire launches Sydney on September 1; New app offers better digital health care support to members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Reminder about lab services for Suffolk County members	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire CRA Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Provider Transparency Update	September 2019 Empire Provider News	Administrative	Sep 1, 2019
Empire customization's to MCG care guidelines 23rd edition	August 2019 Empire Provider News	Administrative	Aug 1, 2019
New online Provider Manual page	August 2019 Empire Provider News	Administrative	Aug 1, 2019
Clinical Validation - Professional	July 2019 Empire Provider News	Administrative	Jul 1, 2019
Changes to timely filing requirements for Medicare Advantage	July 2019 Empire Provider News	Administrative	Jul 1, 2019
Make the move to the Availity EDI Gateway today	July 2019 Empire Provider News	Administrative	Jul 1, 2019
CRA Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?	July 2019 Empire Provider News	Administrative	Jul 1, 2019
Empire Works to Simplify Payment Recovery Process for National Accounts Membership	July 2019 Empire Provider News	Administrative	Jul 1, 2019
Anthem, Inc. to acquire Beacon Health Options	N/A	Administrative	Jun 6, 2019
Updated Provider Manual now available	June 2019 Empire Provider Newsletter	Administrative	Jun 1, 2019
Empire launches additional changes to empireblue.com for Q2	June 2019 Empire Provider Newsletter	Administrative	Jun 1, 2019
Find A Doctor: New Sort Option	June 2019 Empire Provider Newsletter	Administrative	Jun 1, 2019

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