New York
Provider Communications

Articles Category: Administrative

Title	Publication	Category	Date
Register today for The Road to Allyship Forum hosted by Empire and Motivo on February 3, 2021 Join us to hear from a diverse panel of experienced Empire and Motivo professionals about racial equity and the importance of allies.	The Road to Allyship Forum Invite	Administrative	Jan 21, 2021
Information from Empire for Care Providers about COVID-19 (Updated January 11, 2021) We recently updated FAQs about prior authorization requirements suspended for patient transfers from acute IP hospitals to certain facilities.	COVID-19 Information	Administrative	Jan 11, 2021
Empire's new digital online scheduling feature is now available	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Find out in seconds why your claim denied	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Self-service, digital transactions are fast and easy	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Availity Attachment tools for Empire and affiliate payers – Live webinars	January 2021 Empire Provider News	Administrative	Jan 1, 2021
New features added to Interactive Care Reviewer	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Professional system updates for 2021	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Outpatient system updates for 2021 (Facility)	January 2021 Empire Provider News	Administrative	Jan 1, 2021
It is almost CAHPS survey time	January 2021 Empire Provider News	Administrative	Jan 1, 2021
Empire makes going digital easy with the Provider Digital Engagement Supplement	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Access to claim denial information is now self-service	December 2020 Empire Provider News	Administrative	Dec 1, 2020
New Blue HPN® plans go live January 1, 2021	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Empire to change ID numbers for Building Service 32BJ Health Fund members	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Anthem, Inc. and Quest Diagnostics Form Strategic Relationship	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Prior authorization updates for commercial business effective March 1, 2021	December 2020 Empire Provider News	Administrative	Dec 1, 2020
PCP after-hours access requirements	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Empire contracted Air Ambulance providers	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Videos to engage patients about preventive care available on empireblue.com	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Clinical practice and preventive health guidelines available on empireblue.com	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Coordination of Care	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Members’ Rights and Responsibilities	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Important Information about Utilization Management	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Case Management Program	December 2020 Empire Provider News	Administrative	Dec 1, 2020
Digital transactions cut administrative tasks in half	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Clinical Laboratory Improvement Amendments (CLIA) Number – Additional Information	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Availity Attachment Tools for Empire and Affiliate Payers – Live Webinars	November 2020 Empire Provider News	Administrative	Nov 1, 2020
US Antibiotic Awareness Week	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Get the full picture of your patient’s health through their smartphone	November 2020 Empire Provider News	Administrative	Nov 1, 2020
Nominate someone today for the Empire Whole Health Heroes Awards	Empire Whole Health Heroes Awards	Administrative	Oct 20, 2020
Keep up with important news from Empire and receive notifications by email	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Digital Provider Enrollment tool added to Availity for New York	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Blue HPN® network included in plans available for employee open enrollment Fall 2020	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Charges for Personal Protective Equipment by Participating Providers	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Electronic member ID cards available on the Availity Portal	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Empire Chat: A fast, easy way to have your questions answered	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Interactive Care Reviewer adds outpatient medical authorization requests for Empire local, State and City plans	October 2020 Empire Provider News	Administrative	Oct 1, 2020
Request referrals for Empire Individual Network Plan through Interactive Care Reviewer	October 2020 Empire Provider News	Administrative	Oct 1, 2020
New Medical Claim Attachment Webinars: Register Today	October 2020 Empire Provider News	Administrative	Oct 1, 2020
National Accounts 2021 Pre-certification list	October 2020 Empire Provider News	Administrative	Oct 1, 2020
CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program	October 2020 Empire Provider News	Administrative	Oct 1, 2020
What Matters Most: Improving the Patient Experience	October 2020 Empire Provider News	Administrative	Oct 1, 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

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