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Provider Sourcebook Updates

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In our ongoing effort to provide you with the most up-to-date and accurate information, Empire will periodically release administrative updates as well as policy bulletins for you to include with your Empire Hospital Sourcebook. 
 
Below you'll find a listing of pertinent updates with the most recent information listed first. Please contact your provider relations coordinator if you have any questions. 

2011 Updates
Effective Date

Immediately 

PDF Format

 
2007 Updates
Effective Date

Senior Plan Direct is changing its name to MediBlueSM and is expanding its reach to upstate New York.
Also please note changes to precertification requirements for outpatient physical and occupational therapy for Senior Plan Direct patients

1/1/07

PDF Format

Announcement of new name for Senior Plan Direct plus 2007 benefit changes and plan options

1/1/07

PDF Format

More patients to come your way via a new Empire health plan affiliate

1/1/07

PDF Format

Change in Benefits for Physical Therapy for Healthy New York members

1/1/07

PDF Format

 
2006 Updates
Effective Date

Precertification is no longer required for certain services

11/2/06

PDF Format

Modification of the Oncology Fair Market Fee Schedule

4/1/06

PDF Format

Change to payment process for patients who have EmpireTotal BlueSM with American Express HealthPaySM Plus cards

3/24/06

PDF Format

Changes in Senior Plan Direct benefits for 2006

1/1/06

PDF Format

 
2005 Updates
Effective Date

Important precertification reminder for outpatient PT/OT services

4/1/05

PDF Format

List of member prefixes

4/1/05

PDF Format

New Requirements for Eligibility Requests

3/1/05

PDF Format

Notice regarding precertification for certain types of radiology services rendered to EPO and PPO members

3/1/05

PDF Format

Introduction of Empire Total BlueSM

1/1/05

PDF Format

Changes in Senior Plan benefits and the introduction of a new dental plan for 2005

1/1/05

PDF Format

Your current participation agreement with WellChoice encompasses products issued by Empire BlueCross BlueShield, including Empire’s POS health plan coverage

6/1/05

PDF Format

6/1/05

PDF Format

2004 Updates
Effective Date

Modification of Physician Fee Schedule Based on CMS Criterion

12/1/04

PDF Format

MDS Hudson Valley Labs terminates participation in Empire's lab network

8/1/04

PDF Format

Senior Plan Annual Notice of Change—Provider

1/1/04

PDF Format

 
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