Policy Updates Reimbursement PoliciesCommercialJanuary 31, 2021

Emergency Room Transfers (Facility)

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

A new facility reimbursement policy titled Emergency Room Transfers will be implemented beginning with dates of service on, or after May 1, 2021. The policy allows reimbursement for one emergency room visit when a patient is transferred between facilities operating under the same agreement, have the same tax identification number (TIN), or is under common ownership.  The transferring facility will not be eligible for separate reimbursement.

 

For more information about this policy, visit the Reimbursement Policy page at empireblue.com/provider.

 

974-0221-PN-NY