Contact Empire BlueCross BlueShield HealthPlus
For help with eligibility verification, claims, and general provider questions, please call the appropriate Empire BlueCross BlueShield HealthPlus (Empire) phone number below. Note that Empire is also available 24 hours a day, 7 days a week to accept claims, prior authorization requests and more via the Availity* Portal.
Provider services
Call Provider Services for prior authorization/notification, member eligibility, claims information, behavioral health, interpreter services, pharmacy services, case management, general inquiries and recommendations that you may have about improving our processes and managed care program.
Hours: Monday to Friday 8:30 a.m. to 5:30 p.m.
Phone:
1-800-450-8753
Fax:
1-800-964-3627
24/7 NurseLine
After hours, please call the 24/7 NurseLine.
Phone:
1-800-300-8181 (TTY: 711)
Receive email from Empire
Empire is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Prior authorization
Empire is available by phone or the Interactive Care Reviewer (ICR) via Availity 24 hours a day, 7 days a week to accept prior authorization (PA) requests.
Phone:
1-800-450-8753
Prior authorization fax (medical):
Fax:
1-800-964-3627
Behavioral health inpatient precertification fax:
Fax:
1-877-434-7578
Behavioral health outpatient precertification fax:
Fax:
1-866-877-5229
Retail pharmacy fax:
Fax:
1-844-490-4877
Medical injectables fax:
Fax:
1-844-493-9206
Disease management
Our DM care managers are licensed nurses and social workers and are available from 8:30 a.m. to 5:30 p.m. Eastern time, Monday through Friday. Confidential voice mail is available 24 hours a day. Please call 1-888-830-4300 to reach one of our care managers.
Reporting changes in practice status or updating provider information
Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Empire.
Please complete the Practice Profile Update Form below, and either fax it to Provider Relations or email us:
Provider relations fax:
Fax:
1-866-495-7027
Email:
PDF:
For additional contact information, including contact information for services such as mail-order pharmacy, vision services and nonemergent transportation, please refer to your provider manual.
Email a Provider Experience associate
Did you know that most questions and issues can be resolved by using the Empire BlueCross BlueShield HealthPlus self-service tools? Please use Availity for inquiries like payment disputes, provider data updates, claims status, member eligibility, etc. You can also live chat with an Empire associate from within the Availity Portal.
For other issues, you can message the Provider Experience team. Your Provider Experience representative will respond – usually within two business days.
