Hassle-free Administration.

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Provider Home

Empire Provider and Facility Online Services - Changes Effective March 14, 2014  
Effective March 14, 2014, Physician and Facility Online Services will no longer provide eligibility, benefits and claim status information. After that date this information will be available only at www.availity.com. To register or access Availity go to www.availity.com. 
Medical Policies
Medical policies that offer guidance and support for benefit determinations. 
Self-Service and Support  
Participating Providers/Facilities - Get connected with Electronic Funds Transfer
Availity's Web Portal now available for Empire providers
Services Administered by AIM Specialty Health (AIM)
Split Group Policy
Claim Research Template (CRT)
Advance Patient Notice for Use of a Non-Participating Provider Policy
Download Commonly Used Forms and Quick Guides
Dental Provider Resources
Empire Dental Prime and Complete Provider Self Service

Log in to access Dental Prime and Dental Complete eligibility, plan information, dollar amounts used and claim status; submit and view claims online; and sign up for or update Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA). EFT and ERA registration available in NY.

Electronic Data Interchange (EDI) (Not applicable to Empire Dental Prime and Complete)
Enhanced Personal Health Care Program
Our Plans and Benefits  
Chiropractic Services
Behavioral Health Management
Pharmacy Management
Information about Health Insurance Exchanges
Sign up for Network Rapid Updates
Empire Newsletters
Health Care Reform Updates and Notifications
ICD-10 Updates
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.