Medicare Advantage Providers
Empire offers a variety of Medicare plans to support member needs. We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources.
Plans & Benefits
Below you will find evidence of coverage (EOC) and summary of benefits (SOB) documents for our Individual Medicare Advantage products. If the product you are searching for is not in the lists below, please call the number on the back of the member’s ID card.
Medicare Advantage Updates
Stay current on the latest news and changes with these important Medicare Advantage updates. For information directly regarding coronavirus, visit our COVID-19 news page.
Provider Guides & Forms
Make use of these helpful resources to assist you when working with our Medicare Advantage products and patient claims.
Important information about credentialing, reimbursement, appeals, and more
Examples of member identification cards to familiarize yourself with the format
A library of forms related to Medicare Advantage and doing business with Empire
Training
Reimbursement Policies
Individual Plans
Empire reimbursement policies outline the basis for reimbursement for services covered by a member’s benefit plan and serve as a guide to assist you in accurate claims submission.
Employer Group Plans
As of 01/01/2020, all employer group Medicare Advantage plans utilize our Medicare Advantage reimbursement policies.
View Medicare Advantage policies
Medicare Advantage PPO members of non Anthem Blue Plans should utilize our commercial reimbursement policies.
Contact Us
For the most direct point of contact, use the number provided on the back of the member’s ID card. If those numbers are not available to you, use the phone numbers listed below for assistance with your questions.
1-866-395-5175
1-800-499-9554
