Blue Cross Blue Shield of New York Empire

Providers - New York Empire

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)

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:

NYProviderprofiles@empireblue.com

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.

Provider tools & resources

Interested in becoming a provider in the Empire network?

We look forward to working with you to provide quality services to our members.