CommercialDecember 1, 2020
December 2020 Empire Provider News
Administrative
CommercialNovember 30, 2020
Case Management ProgramCommercialNovember 30, 2020
Anthem, Inc. and Quest Diagnostics Form Strategic RelationshipCommercialNovember 30, 2020
Empire makes going digital easy with the Provider Digital Engagement SupplementCommercialNovember 30, 2020
Access to claim denial information is now self-serviceCommercialNovember 30, 2020
New Blue HPN® plans go live January 1, 2021CommercialNovember 30, 2020
Empire to change ID numbers for Building Service 32BJ Health Fund membersCommercialNovember 30, 2020
Prior authorization updates for commercial business effective March 1, 2021CommercialNovember 30, 2020
PCP after-hours access requirementsCommercialNovember 30, 2020
Empire contracted Air Ambulance providersCommercialNovember 30, 2020
Videos to engage patients about preventive care available on empireblue.comCommercialNovember 30, 2020
Clinical practice and preventive health guidelines available on empireblue.comCommercialNovember 30, 2020
Coordination of CareCommercialNovember 30, 2020
Members’ Rights and ResponsibilitiesCommercialNovember 30, 2020
Important Information about Utilization ManagementBehavioral Health
CommercialNovember 30, 2020
Access requirements for behavioral healthcare servicesPolicy Updates
CommercialNovember 30, 2020
Updates to AIM Cardiology Clinical Appropriateness GuidelinesCommercialNovember 30, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelineCommercialNovember 30, 2020
Updates to AIM Radiation Oncology Clinical Appropriateness GuidelineCommercialNovember 30, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness GuidelinesCommercialNovember 30, 2020
Bundled Services and Supplies (Professional)CommercialNovember 30, 2020
Empire expands hospice policyProducts & Programs
CommercialNovember 30, 2020
AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021CommercialNovember 30, 2020
Prior authorization updates for specialty pharmacy - effective March 1, 2021CommercialNovember 30, 2020
Clinical Criteria updates for specialty pharmacy are availableCommercialNovember 30, 2020
Reminder: Company requires National Drug Code for professional and facility outpatient claims effective December 11, 2020CommercialNovember 30, 2020
Pharmacy information available on empireblue.comState & Federal
MedicaidNovember 30, 2020
Notifications on the Availity PortalMedicaidNovember 30, 2020
Digital transactions cut administrative tasks in halfMedicaidNovember 30, 2020
Sign up to receive email from Empire BlueCross BlueShield HealthPlusMedicaidNovember 30, 2020
CAHPS education for providersMedicaidNovember 30, 2020
Resources to support your pregnant and postpartum patients and their familiesMedicaidNovember 30, 2020
Flu vaccination reimbursementMedicaidNovember 30, 2020
Update to reimbursement policy usageMedicaidNovember 30, 2020
Keep up with Medicaid newsMedicare AdvantageNovember 30, 2020
Digital transactions cut administrative tasks in halfMedicare AdvantageNovember 30, 2020
Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQMedicare AdvantageNovember 30, 2020
2021 Medicare Advantage individual benefits and formulariesMedicare AdvantageNovember 30, 2020
Medical Policies and Clinical Utilization Management Guidelines updateMedicare AdvantageNovember 30, 2020
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