New York
Provider Communications

December 2019 Empire Provider News

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Title Category

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

Products & Programs

Specialty Pharmacy Program expands Level of Care Reviews to NYC Hospital PPO Members

Products & Programs

Case Management Program

Products & Programs

Pharmacy information available on empireblue.com

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

2020 Network Changes

Administrative

Announcing a New Network - Connection

Administrative

Blue Access Expands to Include Large Groups

Administrative

New - Individual Network

Administrative

Verifying and updating your provider information

Administrative

Coding Tip for Psychological and Neuropsychological Testing

Administrative

Empire Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

Empire BCBS HealthPlus to be removed from Availity’s Payer Menu

Administrative

Retrieve your Empire Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

Administrative

Coordination of Care

Administrative

Important Information about Utilization Management

Administrative

Members’ Rights and Responsibilities

Administrative

Clinical practice and preventive health guidelines available on empireblue.com/provider

Administrative

New Reimbursement Policy Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers (Professional)

Reimbursement Policies

System updates for 2020 - Professional

Reimbursement Policies

Coordination of Benefits for an FEP® member

Federal Employee Plan (FEP)

Reminder to Medicare Advantage providers

Medicare

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

Medicare

City of Cincinnati Retirement System to offer Medicare Advantage option

Medicare

East End Health Plan offers Medicare Advantage option

Medicare

Provider training series

Medicare

Keep up with Medicare News

Medicare
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