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.

Professional Bulletin List - 2004

PW_AD093194
Health plans are required by law to have the ability to send and receive HIPAA-compliant transactions. Based on the implementation guides, there are specific Empire business requirements that must be further clarified so entities can do business with Empire. 
 
 
Professional Bulletin List — 2004 
[2004-07BS] Empire shutdown of professional claim submissions in non-HIPAA compliant formats
[2004-06BS] New Blue Shield 837 Implementation Guide External Code Set (IGE) Edit for Provider Taxonomy Code
[2004-05BS] New and Revised Blue Shield 837 Implementation Guide (IG) and Business Edits; Clarification on Entry of Blue Shield Payer Identifier When No Plan Code on the Subscriber’s ID Card
[2004-04BS] New Empire Business Edit BS00000055 for X12 837 Version 4010A1 Professional Blue Shield Claims
[2004-03BS] New Empire Business Edits for X12 837 Version 4010A1 Professional Blue Shield Claims — BS00000052, BS00000053, and BS00000054
[2004-01BS] New implementation guide edits for x12 837 version 4010A1 professional Blue Shield claims
[ISA Edit for X12 837] New Interchange Control Header (ISA) Edit for X12 837 Versions 4010 and 4010A1 Professional Blue Shield Claims
Electronic Remittances (X12 835 addenda version 4010A1)
 
 
©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.