CommercialOctober 1, 2021
October 2021 Newsletter
Administrative
CommercialSeptember 30, 2021
Familiarize yourself with Empire’s Simplified NetworksCommercialSeptember 30, 2021
Meet Dr. Carolyn Langer, Empire’s new Chief Medical OfficerCommercialSeptember 30, 2021
Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022CommercialSeptember 30, 2021
Clarification: Empire’s enhanced claim edits for outpatient facility claimsCommercialSeptember 30, 2021
Your recommendation is key to encouraging cancer screenings for your female patientsCommercialSeptember 30, 2021
Are you talking to ALL of your patients about breast cancer screenings?CommercialSeptember 30, 2021
Looking to earn continuing medical education credits? Register for these on-demand webinarsCommercialSeptember 30, 2021
Clinical appealsCommercialSeptember 30, 2021
Provider claim payment disputes for Empire’s Commercial lines of businessCommercialSeptember 30, 2021
Good news! Non-payment remittance advice enhancements coming soonCommercialSeptember 30, 2021
REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Empire providers – replacing CAQH Enrollhub effective November 1, 2021CommercialSeptember 30, 2021
Procedure searches in Find CarePolicy Updates
CommercialSeptember 30, 2021
Medical policy and clinical guideline updatesMaterial adverse change (MAC) notification
Products & Programs
CommercialSeptember 30, 2021
Clinical Criteria updates for specialty pharmacyCommercialSeptember 30, 2021
Designated specialty pharmacy network updates effective January 1, 2022Material adverse change (MAC) notification
CommercialSeptember 30, 2021
Specialty pharmacy updates - October 2021CommercialSeptember 30, 2021
Pharmacy information available on empireblue.comState & Federal
MedicaidSeptember 30, 2021
Get your payments faster when you sign up for electronic funds transferMedicaidSeptember 30, 2021
Diabetes testing and screening HEDIS measuresMedicaidSeptember 30, 2021
New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)MedicaidSeptember 30, 2021
FAQ: Update to AIM phone numberMedicaidSeptember 30, 2021
Prior authorization updates for specialty pharmacy IVMedicaidSeptember 30, 2021
Prior authorization updates for specialty pharmacy VMedicaidSeptember 30, 2021
Keep up with Medicaid news - October 2021- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
Medicare AdvantageSeptember 30, 2021
Webinars for City of New York retirees transitioning to new Medicare Advantage planMedicare AdvantageSeptember 30, 2021
Get your payments faster when you sign up for electronic funds transferMedicare AdvantageSeptember 30, 2021
Information about 2021 Special Needs PlansMedicare AdvantageSeptember 30, 2021
HEDIS® medical record submission made easier with our Remote EMR Access ServiceMedicare AdvantageSeptember 30, 2021
New Reimbursement Policy: Sexually Transmitted Infections Testing (Professional)Medicare AdvantageSeptember 30, 2021
New Medical Step Therapy RequirementsMedicare AdvantageSeptember 30, 2021
Keep up with Medicare news - October 2021- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
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