Blue Cross Blue Shield of New York Empire

Providers - New York Empire

Attention providers!

Beginning January 1, 2024, Empire Blue Cross Blue Shield will become Anthem Blue Cross and Blue Shield (Anthem), and Empire Blue Cross will become Anthem Blue Cross (Anthem).

There is no action for our care providers. There will be no changes to your agreements or contract, reimbursement, or level of support — now or in the future — because of our new name. For members, this evolution to Anthem will not cause any reduction to coverage or access to care. We look forward to continuing to provide our members with the strong medical coverage and healthcare assistance they expect and deserve.

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Prior Authorization
Claims & Disputes
Forms
Provider Training Academy

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

For questions about eligibility, benefits, authorizations, claims status, and more; log in to Availity Essentials* and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

 

Join our network!

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.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Don’t have an Availity account?

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.

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Provider News

Provider News is your source for important news and announcements, including policy updates, prior authorization changes, new product and program offerings, and more.

Featured resources

Pharmacy information

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

View pharmacy information 

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.

Learn about the maternal child program 

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.

Learn more about behavioral health resources 

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.

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