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Provider Communications

Articles

Title Publication Category Date

Interactive bilingual website acting for our health

Exclusively developed for the latino community.
April 2021 Newsletter Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Newsletter Behavioral Health Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Newsletter Pharmacy Apr 1, 2021

Updates for specialty pharmacy are available

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

Material adverse change (MAC) notification
April 2021 Newsletter Pharmacy Apr 1, 2021

Pharmacy information available on empireblue.com

April 2021 Newsletter Pharmacy Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Newsletter Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Newsletter Administrative Apr 1, 2021

Join Empire in talking about racism and its impact on health

April 2021 Newsletter Administrative Apr 1, 2021

Reminder: Site of care medical necessity reviews for a wide range of surgical procedures began January 1, 2021

April 2021 Newsletter Administrative Apr 1, 2021

State of Connecticut employer group and Connecticut partnership plan

April 2021 Newsletter Administrative Apr 1, 2021

Updated provider agreement

April 2021 Newsletter Administrative Apr 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

April 2021 Newsletter Administrative Apr 1, 2021

Payer Spaces - Education and Reference Center has been replaced by Information Center

April 2021 Newsletter Administrative Apr 1, 2021

Understanding Availity Roles for Electronic Data Interchange (EDI)

April 2021 Newsletter Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Newsletter Administrative Apr 1, 2021

Submit appeals for clinically denied appeals via ICR

April 2021 Newsletter Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Empire results in improved care management for patients

April 2021 Newsletter Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Newsletter Administrative Apr 1, 2021

Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

MCG Care Guidelines 25th Edition

April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

Medical policy updates

Material adverse change (MAC) notification
April 2021 Newsletter Medical Policy & Clinical Guidelines Apr 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

April 2021 Newsletter Reimbursement Policies Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Products & Programs Mar 1, 2021

Clinical Criteria updates for specialty pharmacy

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Empire Provider News Pharmacy Mar 1, 2021

Updates for Specialty Pharmacy are available

Material Adverse Change (MAC) Notification
March 2021 Empire Provider News Pharmacy Mar 1, 2021

Medical Attachment Capability: Itemized Bill and More

March 2021 Empire Provider News Administrative Mar 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Empire Provider News Medical Policy & Clinical Guidelines Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicaid Mar 1, 2021

MCG Care Guidelines 24th edition customization

March 2021 Empire Provider News Medicaid Mar 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Empire Provider News Medicaid Mar 1, 2021

Ocrevus/Vyepti Medical Step Therapy Notice

March 2021 Empire Provider News Medicaid Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Empire Provider News Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Empire Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Empire Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Empire Provider News Medicare Mar 1, 2021

Prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Pharmacy Feb 1, 2021

Empire to update formulary lists for commercial health plan pharmacy benefit

February 2021 Empire Provider News Pharmacy Feb 1, 2021

Pharmacy information available on empireblue.com

February 2021 Empire Provider News Pharmacy Feb 1, 2021

Procedure Searches in Find Care - New Sort Option

February 2021 Empire Provider News Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Empire Provider News Administrative Feb 1, 2021

Emergency Room Transfers (Facility)

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Reimbursement Policies Feb 1, 2021

Treatment Rooms with Office Evaluation and Management Services (Facility)

Material Adverse Change (MAC) Notification
February 2021 Empire Provider News Reimbursement Policies Feb 1, 2021

Prior authorization requirements for 55899

February 2021 Empire Provider News Medicaid Feb 1, 2021

Provider notification for Utilization Management Authorization Rule Operations Workgroup Item 1326

February 2021 Empire Provider News Medicaid Feb 1, 2021

Updated AIM Rehabilitative program effective August 1, 2021 - Initial evaluations and site of care reviews

February 2021 Empire Provider News Medicaid Feb 1, 2021

New specialty pharmacy medical step therapy requirements

February 2021 Empire Provider News Medicaid Feb 1, 2021

Colorectal Cancer Screening (COL) - ensuring quality of care

February 2021 Empire Provider News Medicaid Feb 1, 2021

CAHPS® survey

February 2021 Empire Provider News Medicaid Feb 1, 2021

HEDIS Measurement Year 2020: Medicaid summary of changes from NCQA

February 2021 Empire Provider News Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicaid Feb 1, 2021

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Empire Provider News Medicaid Feb 1, 2021

Keep up with Medicaid news

February 2021 Empire Provider News Medicaid Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Empire Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Empire Provider News Medicare Feb 1, 2021

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

IngenioRx introduces new pharmacy network in 2021

January 2021 Empire Provider News Pharmacy Jan 1, 2021

Prior Authorization updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 2021

Clinical Criteria updates for specialty pharmacy are available

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Pharmacy Jan 1, 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

MCG Care Guidelines 24th edition customization

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Medical Policy updates

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

Multiple Diagnostic Imaging procedures (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Frequency Editing (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Guidelines for reporting timed units for Physical Medicine and Rehabilitation (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Modifier Rules (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Unit Frequency Maximum for Drugs and Biologicals (Professional)

Material Adverse Change (MAC) Notification
January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

Evaluation and Management changes 2021

January 2021 Empire Provider News Reimbursement Policies Jan 1, 2021

2021 FEP® Benefit information available online

January 2021 Empire Provider News Federal Employee Plan (FEP) Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicaid Jan 1, 2021

FDA approvals and expedited pathways used — new molecular entities (NMEs)

January 2021 Empire Provider News Medicaid Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicaid Jan 1, 2021

Coding spotlight: HEDIS MY 2021

January 2021 Empire Provider News Medicaid Jan 1, 2021

Disease Management/Population Health program

January 2021 Empire Provider News Medicaid Jan 1, 2021

Keep up with Medicaid news

January 2021 Empire Provider News Medicaid Jan 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Empire Provider News Medicare Jan 1, 2021

Medical drug benefit Clinical Criteria updates

January 2021 Empire Provider News Medicare Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Empire Provider News Medicare Jan 1, 2021

Keep up with Medicare news

January 2021 Empire Provider News Medicare Jan 1, 2021

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
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