Hassle-free Administration.

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

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

Physician Online Services

Submit secure transactions online with Physician Online Services 
For participating network providers who file CMS-1500 claim forms (particularly smaller offices with limited resources), Empire’s Physician Online Services offers an innovative way to submit secure transactions electronically via the Internet. Physician Online Services also enables providers to comply with Health Insurance Portability and Accountability Act (HIPAA) requirements. 
As a Registered Physician you can: 

Submit claims online faster with more accurate information.

Receive real-time adjudication or claim settlement.

Access Empire information 24 hours a day.

Determine patient eligibility, copayments and deductibles while patients are in your office.

Submit precertification requests and check their status online.

View your Explanation of Benefits (EOB) online and request check and EOB copies.

Improve your entire work flow with innovative and comprehensive tools.

Stay up-to-date on Empire initiatives with e-messages.

View Empire’s complete Medical Policies.

Complete administrative details minus the paperwork.

Get answers fast by email or a callback.

To register online: 

Visit empireblue.com.

Select “Providers & Facilities.”

Select “Providers” from the “Register Now” drop-down box.

Select “Register” and complete online registration.

Empire offers an option for providers to create a profile account to view member benefits, claim status, payments, and precertification status, and also submit claims ONLINE. Refer to the following tools to register and use these services. 
Tools for Physician  
What is Physician Online Services
How to register if you are a new user
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Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., and/or HealthPlus, LLC., 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.