AdministrativeCommercialMay 31, 2019

Updated Provider Manual now available

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

Empire reviews and updates our online Provider Manuals annually.  The updated manual is now available online at empireblue.com/provider > Click “Find Resources in New York” > Provider Home >  Communications > Empire’s Provider Manual. The following changes are effective July 1, 2019:

 

New for 2019:

  • Claims Payment Disputes
  • Medical Records Submission
  • Reimbursement Guidelines and Policies

 

Updated for 2019:

  • AIM Specialty Health
  • Availity Portal
  • Centers of Medical Excellence
  • Claims Filing Tips
  • Coordination of Benefits
  • Credentialing
  • EDI
  • FEHBP
  • Fraud Waste and Abuse Detection
  • General Introduction
  • HIX
  • Medical Policy
  • Medicare Advantage
  • Multicultural Health
  • Overpayment-Cost Containment
  • Overview of CAHPS
  • Overview of HEDIS®
  • Pharmacy Home
  • Quality Improvement
  • Quality of Care Investigations
  • Utilization Management

 

PUBLICATIONS: June 2019 Empire Provider Newsletter