New York
Provider Communications

Familiarize yourself with Empire’s Simplified Networks

Meet Dr. Carolyn Langer, Empire’s new Chief Medical Officer

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Clarification: Empire’s enhanced claim edits for outpatient facility claims

Your recommendation is key to encouraging cancer screenings for your female patients

Are you talking to ALL of your patients about breast cancer screenings?

Looking to earn continuing medical education credits? Register for these on-demand webinars

Clinical appeals

Provider claim payment disputes for Empire’s Commercial lines of business

Good news! Non-payment remittance advice enhancements coming soon

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers – replacing CAQH Enrollhub effective November 1, 2021

Procedure searches in Find Care

Clinical Criteria updates for specialty pharmacy

Designated specialty pharmacy network updates effective January 1, 2022

Material adverse change (MAC) notification

Specialty pharmacy updates - October 2021

Pharmacy information available on empireblue.com

Medical policy and clinical guideline updates

Material adverse change (MAC) notification

Get your payments faster when you sign up for electronic funds transfer

Diabetes testing and screening HEDIS measures

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

FAQ: Update to AIM phone number

Prior authorization updates for specialty pharmacy IV

Prior authorization updates for specialty pharmacy V

Keep up with Medicaid news - October 2021

• 2021 affirmative statement concerning utilization management decisions
• May 2021 Medical Policies and Utilization Management Guidelines update

Webinars for City of New York retirees transitioning to new Medicare Advantage plan

Get your payments faster when you sign up for electronic funds transfer

Information about 2021 Special Needs Plans

HEDIS® medical record submission made easier with our Remote EMR Access Service

New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)

New Medical Step Therapy Requirements

Keep up with Medicare news - October 2021

• 2021 affirmative statement concerning utilization management decisions
• May 2021 Medical Policies and Utilization Management Guidelines update