Policy Updates Reimbursement PoliciesCommercialNovember 30, 2018

Reimbursement Policy Update - Scope of License (Professional)

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

The December 2017 edition of the Network Update announced Empire will not reimburse services to a provider that is outside of their state requirements through Empire’s Scope of License policy. Empire is updating its editing systems to deny services deemed to be outside of a specific specialty’s scope of license. 

 

For more information about this policy, visit empireblue.com/provider > Select “Find Resources in New York” > Provider Home > Answers @ Empire > Reimbursement Policies.

PUBLICATIONS: December 2018 Empire Provider Newsletter