New York
Provider Communications

Articles Month: December 2020

Title	Publication	Category	Date
AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021	December 2020 Empire Provider News	Products & Programs	Dec 1, 2020
Access requirements for behavioral healthcare services	December 2020 Empire Provider News	Behavioral Health	Dec 1, 2020
Prior authorization updates for specialty pharmacy - effective March 1, 2021 Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Clinical Criteria updates for specialty pharmacy are available Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020 Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
Pharmacy information available on empireblue.com	December 2020 Empire Provider News	Pharmacy	Dec 1, 2020
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
Updates to AIM Cardiology Clinical Appropriateness Guidelines Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Updates to AIM Radiation Oncology Clinical Appropriateness Guideline Material Adverse Change (MAC) Notification	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines	December 2020 Empire Provider News	Medical Policy & Clinical Guidelines	Dec 1, 2020
Bundled Services and Supplies (Professional)	December 2020 Empire Provider News	Reimbursement Policies	Dec 1, 2020
Empire expands hospice policy	December 2020 Empire Provider News	Reimbursement Policies	Dec 1, 2020
Digital transactions cut administrative tasks in half	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Sign up to receive email from Empire BlueCross BlueShield HealthPlus	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
CAHPS education for providers	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Notifications on the Availity Portal	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Resources to support your pregnant and postpartum patients and their families	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Flu vaccination reimbursement	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Update to reimbursement policy usage	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Keep up with Medicaid news	December 2020 Empire Provider News	Medicaid	Dec 1, 2020
Digital transactions cut administrative tasks in half	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ	December 2020 Empire Provider News	Medicare	Dec 1, 2020
2021 Medicare Advantage individual benefits and formularies	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Medical Policies and Clinical Utilization Management Guidelines update	December 2020 Empire Provider News	Medicare	Dec 1, 2020
Keep up with Medicare news	December 2020 Empire Provider News	Medicare	Dec 1, 2020

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