CommercialApril 1, 2021

April 2021 Newsletter

Administrative

AdministrativeCommercialMarch 31, 2021

Understanding Availity Roles for Electronic Data Interchange (EDI)

AdministrativeCommercialMarch 31, 2021

Chat directly with a prior authorization specialist

AdministrativeCommercialMarch 31, 2021

Submit appeals for clinically denied appeals via ICR

AdministrativeCommercialMarch 31, 2021

Updated provider agreement

AdministrativeCommercialMarch 31, 2021

Join Empire in talking about racism and its impact on health

AdministrativeCommercialMarch 31, 2021

Does your practice offer telehealth services? Let us know!

AdministrativeCommercialMarch 31, 2021

Maximizing efficient, high quality COVID-19 screenings

Behavioral Health

Behavioral HealthCommercialMarch 31, 2021

The heath of millennials: Trends in behavioral health conditions

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMarch 31, 2021

Medical policy updates
Material adverse change (MAC) notification

Medical Policy & Clinical GuidelinesCommercialMarch 31, 2021

MCG Care Guidelines 25th Edition

Reimbursement PoliciesCommercialMarch 31, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

Products & Programs

Products & ProgramsCommercialMarch 31, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021
Material adverse change (MAC) notification

Products & ProgramsCommercialMarch 31, 2021

Interactive bilingual website acting for our health
Exclusively developed for the latino community.

Federal Employee Program (FEP)CommercialMarch 31, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

PharmacyCommercialMarch 31, 2021

Pharmacy information available on empireblue.com

PharmacyCommercialMarch 31, 2021

Clinical criteria updates for specialty pharmacy
Material adverse change (MAC) notification

PharmacyCommercialMarch 31, 2021

Updates for specialty pharmacy are available
Material adverse change (MAC) notification

State & Federal

State & FederalMedicare AdvantageMarch 31, 2021

Medical drug benefit clinical criteria updates – December 2020

State & FederalMedicare AdvantageMarch 31, 2021

Medical drug benefit clinical criteria updates – November 2020

State & FederalMedicare AdvantageMarch 31, 2021

Oncology dose reduction program beginning July 1, 2021

State & FederalMedicare AdvantageMarch 31, 2021

In-office assessment program

State & FederalMedicare AdvantageMarch 31, 2021

Notify us of telehealth services

State & FederalMedicaidMarch 31, 2021

Keep up with Medicaid news