Blue Cross Blue Shield of New York Empire

Providers - New York Empire

Welcome, providers!

Resources that help healthcare professionals do what they do best — care for our members.

At Empire BlueCross BlueShield HealthPlus (Empire), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

COVID-19 information

Empire BlueCross BlueShield HealthPlus is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Vaccine Resources

Vaccination is important in fighting against infectious diseases. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and patients against contagious illnesses.

Availity access

The Availity Portal* offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request authorizations.
Submit claims.
Confirm eligibility.

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.

Provider news

The latest Empire articles and announcements on Medicaid Managed Care policies, processes, updates to clinical guidelines, claims filings, state and federal regulatory changes, and more:

Medicaid updates


 

Required: cultural competence training

To ensure the cultural competence of our provider network, all Empire BlueCross BlueShield HealthPlus (Empire) contracted/participating providers must certify, on an annual basis, completion of the state-approved cultural competence training curriculum for all participating providers’ staff who have regular and substantial contact with enrollees.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health providers

We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources. This enables Empire to meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities.

Looking for Medicare, duals or HMO plan information from Empire?

Please visit the Empire BlueCross BlueShield HealthPlus commercial website for more information.

Government resources

New York State Department of Health - Medicaid

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.