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.
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
After hours, please call the 24/7 NurseLine.
Phone:
1-800-300-8181 (TTY: 711)
Empire is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
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
Fax:
1-800-964-3627
Fax:
1-877-434-7578
Fax:
1-866-877-5229
Fax:
1-844-490-4877
Fax:
1-844-493-9206
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.
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:
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.
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.