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What is Empire's 360° Health® program?
A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
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Provider Sourcebook

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Empire's Provider Sourcebook sections are listed below. To view a section, click on the links below. To get the most up-to-date and accurate information, please review the Provider Sourcebook Updates 

Section Title

Reference Guides

PDF Format

Dedicated Service Centers Directory

PDF Format

Empire's Plans and Networks

PDF Format

Summary of Standard Managed Care Products – (Update)

PDF Format

Members' Rights & Privacy Information

PDF Format

Physician Responsibilities

PDF Format

Health Services Programs

PDF Format

Precertification & Referrals

PDF Format

Medical Management

PDF Format

Urgent Care & Hospitalization

PDF Format

Ancillary Services

The information on Behavioral Health contained in this Sourcebook is no longer applicable. Please click here for updated information on Empire's Behavioral Health.

PDF Format

Quality Management

The information on Quality Management contained in this Sourcebook may be outdated. Please click here for updated information on Empire's Quality Program

PDF Format

Claims, Billing & Reimbursement

PDF Format

Complaints, Grievances & Appeals

PDF Format

Sample Forms

PDF Format

Appendix I – E & I List

PDF Format

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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.