Login
Hassle-free Administration.


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

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

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

PW_B147994
You can get Medical Policies, Clinical UM Guidelines, and Pre-Certification/Pre-Authorization Requirements any time you need them with a simple click of your mouse. Click on one of the appropriate links below: 
Medical Policies and Clinical UM Guidelines (for Local Plan members)
Pre-Certification/Pre-Authorization Requirements (for Local Plan members)
Medical Policies and Clinical UM Guidelines (for BlueCard Out-of-Area members)
Pre-Certification / Pre-Authorization Requirements (for BlueCard Out-of-Area members)
Pre-Certification / Pre-Authorization Requirements (Medicare Advantage)*

*Medicare Advantage Products never require Pre-Existing Condition signoff

 
©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.