Blue Cross Blue Shield of New York Empire

Providers - New York Empire

Provider Resources Overview

We are committed to supporting you in providing quality care and services to the members in our network. Here, you will find frequently used forms, PDFs, provider manuals and guides, policies, and support for delivering benefits to our members.

Provider forms

Provider forms are located on the Forms page of this site for easy access.

Provider education

Empire BlueCross BlueShield HealthPlus (Empire) offers training and tutorials to support providers in continuing their education through the Provider Training Academy. We will add presentations, videos and other training documentation as they become available.

Provider manuals, policies and guidelines

Empire provider manuals contain key administrative information; details regarding programs, including the utilization management program and case management programs; quality standards for provider participation; guidelines for claims and appeals, and more. 

Details regarding dental, vision and behavioral health services can also be found in the provider manuals.

Learn about Availity

Many of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry and authorizations — can now be accessed by logging into your account on the  Availity Essentials .

Prior authorization resources

For information related to submitting a prior authorization request, please refer to your provider manual or visit the Prior Authorization Requirements page.

The Prior Authorization Lookup Tool Online can help you determine a code’s prior authorization requirements before a request is submitted.

Behavioral health

The behavioral health provider network at Empire includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance healthcare professionals. 

Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.

Provider directories

To find a doctor, group or facility in our network, use the online provider search tool below.

Provider search tool

Provider demographics

Providers should immediately submit any changes to demographics, specialty, practice information, TIN, billing, office hours or appointment scheduling phone number directly to Empire. 

Need to report changes in practice status to Empire? Please visit the contact us page. The Practice Profile Form can be found on the Forms page.

Related resources

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.